Brick City Compounding LLC
NPI #1316558851 in Madison, Mississippi
Provider Information
- NPI Number
- 1316558851
- Entity Type
- Organization
- Organization Name
- Brick City Compounding LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Aug 10, 2020
- Last Updated
- Dec 13, 2021
Practice Location
- Address
- 159 FOUNTAINS BLVD STE C
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6344
- Phone
- (769) 231-1400
Authorized Official
- Name
- EDWARD MUSSHAFEN, PHARMD
- Title
- PHARMACIST-IN-CHARGE
- Phone
- (769) 231-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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