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Brick City Compounding, LLC

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Company Details

Name: Brick City Compounding, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 01 Jun 2019 (6 years ago)
Business ID: 1177351
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 159 Fountains Blvd, Ste CMadison, MS 39110

Agent

Name Role Address
John Hegi Agent 159 Fountains Blvd, Madison, MS 39110

Member

Name Role Address
John Hegi Member 159 Fountains Blvd, Madison, MS 39110

National Provider Identifier

NPI Number:
1316558851
Certification Date:
2021-12-13

Authorized Person:

Name:
EDWARD MUSSHAFEN
Role:
PHARMACIST-IN-CHARGE
Phone:

Taxonomy:

Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6018598201
Fax:
8009585257

Filings

Type Status Filed Date Description
Dissolution Filed 2024-01-25 Dissolution For Brick City Compounding, LLC
Annual Report LLC Filed 2023-01-23 Annual Report For Brick City Compounding, LLC
Annual Report LLC Filed 2022-02-17 Annual Report For Brick City Compounding, LLC
Annual Report LLC Filed 2021-03-09 Annual Report For Brick City Compounding, LLC
Annual Report LLC Filed 2020-03-17 Annual Report For Brick City Compounding, LLC
Formation Form Filed 2019-05-06 Formation For Brick City Compounding, LLC

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Date of last update: 21 May 2025

Sources: Company Profile on Mississippi Secretary of State Website