Organization
CITY REXALL DRUGS II INC
Active
Other names
CITY REXALL DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PISARICH (PHARMACIST)
(228) 861-5076
Entity
Organization
Contact information
Practice address
349 S MAIN ST, PICAYUNE, MS 39466-4415
(601) 798-4761
(601) 798-4761
Mailing address
349 S MAIN ST, PICAYUNE, MS 39466-4415
(601) 798-4761
(601) 798-4761
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00179/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00045063
—
MS
01
—
2043348
PK
—
Enumeration date
07/22/2006
Last updated
04/21/2025
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