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Contact Information

BRICK CITY DRUGS, LLC
159 FOUNTAINS BLVD
MADISON, MS39110
 Phone: 601-859-8200
 Fax: 601-859-8201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRICK CITY DRUGS, LLC

NPI Number 1467960484
LBN Legal business name BRICK CITY DRUGS, LLC
Authorized official JOHN HEGI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2018
Last updated 02/18/2019 - About 7 years ago
Identifiers
MS License # 16750/1.1
Other 2175223 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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