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Organization

MAXI DRUG SOUTH LP

Active
Other names
BROOKS
Organization subpart
No

Provider details

NPI number
Authorized official
JOYCE FRANCO (LICENSING SUPERVISOR)
(401) 468-2840
Entity
Organization

Contact information

Practice address
10 COVENTRY SHOPPERS PARK, COVENTRY, RI 02816-5702
(401) 828-3230
(401) 821-7150
Mailing address
50 SERVICE AVE, WARWICK, RI 02886-1021

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHA00307
RI
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4105056
OTHER ID NUMBER-COMMERCIAL NUMBER
05
MD11348
RI
Enumeration date
09/25/2006
Last updated
09/11/2025
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