1306906482 SOUTH STREET PHARMACY
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- SOUTH STREET PHARMACY
- Enumeration Date
- December 11, 2006
- Last Update
- March 20, 2018
- Authorized Official
- MICHAEL STUART CLARK II
PHARMACIST OWNER
Phone: (662) 843-6700
Practice Location
- Address
- 410 SOUTH ST
CLEVELAND, MS 387323450 - Phone
- (662) 843-6700
Mailing Address
- Address
- PO BOX 1748
410 SOUTH STREET
CLEVELAND, MS 387321748 - Phone
- (662) 843-6700
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pharmacist | 183500000X | Pharmacist | 05857 | MS | No |
| Long Term Care Pharmacy Long Term Care Pharmacy | 3336L0003X | Pharmacy | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04686806 | 05 | MS | N/A |
| 03181784 | 05 | MS | N/A |
| 2521513 | 01 | MS | NABP NUMBER |
| 09058522 | 01 | MS | MEDICAID DME |
Frequently Asked Questions
What is SOUTH STREET PHARMACY's NPI number?
SOUTH STREET PHARMACY's NPI number is 1306906482.
Which doctor has NPI number 1306906482?
The doctor with NPI number 1306906482 is SOUTH STREET PHARMACY.
What is SOUTH STREET PHARMACY's practice address?
SOUTH STREET PHARMACY's practice address is 410 SOUTH ST, CLEVELAND, MS, 387323450.
Which doctor practices at 410 SOUTH ST, CLEVELAND, MS, 387323450?
SOUTH STREET PHARMACY practices at 410 SOUTH ST, CLEVELAND, MS, 387323450.
What is SOUTH STREET PHARMACY's mailing address?
SOUTH STREET PHARMACY's mailing address is PO BOX 1748, 410 SOUTH STREET, CLEVELAND, MS, 387321748.
What is SOUTH STREET PHARMACY's phone number?
SOUTH STREET PHARMACY's phone number is (662) 843-6700.
Who is (662) 843-6700?
(662) 843-6700 is the phone number for SOUTH STREET PHARMACY.
What is SOUTH STREET PHARMACY's specialty?
SOUTH STREET PHARMACY's specialty is Community/Retail Pharmacy.
What type of doctor is SOUTH STREET PHARMACY?
SOUTH STREET PHARMACY is a Community/Retail Pharmacy.
Is SOUTH STREET PHARMACY a Community/Retail Pharmacy?
Yes, SOUTH STREET PHARMACY is a Community/Retail Pharmacy.
Is SOUTH STREET PHARMACY still practicing?
Yes, SOUTH STREET PHARMACY is currently practicing.
Is SOUTH STREET PHARMACY accepting new patients?
SOUTH STREET PHARMACY may be accepting new patients. Please call their office at (662) 843-6700 to inquire about availability.
Is NPI 1306906482 still active?
Yes, NPI 1306906482 is currently active.
Where does SOUTH STREET PHARMACY practice?
SOUTH STREET PHARMACY practices in CLEVELAND, MS.