NPI 1013294461

Clark Drug Company, LLC

Organisation Community/Retail Pharmacy Caledonia, MS

Practice location

Address: 741 Main St, Caledonia, MS 39740-7609
Phone: (662) 356-4000
Fax: (662) 356-4044
Mailing address: PO Box 478, Caledonia, MS 39740-0478

Authorised official

Name: Robert Justin Clark
Title: Owner/ Pharmacist in Charge
Phone: (662) 356-4000

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 09552/1.1 (MS)

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Registry record

NPI: 1013294461
Entity type: Organization
NPI issued: 14 Nov 2011
Record last updated: 19 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.