Organization
BRICK CITY DRUGS, LLC
Active
Other names
Brick City Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HEGI (OWNER)
(769) 231-1400
Entity
Organization
Contact information
Practice address
159 FOUNTAINS BLVD, MADISON, MS 39110
(601) 859-8200
(601) 859-8201
Mailing address
159 FOUNTAINS BLVD, STE A, MADISON, MS 39110-0000
(769) 231-1400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16750/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175223
PK
—
Enumeration date
01/11/2018
Last updated
02/18/2019
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