NPI 1306906482
South Street Pharmacy
Practice location
- Address
- 410 South St, Cleveland, MS 38732-3450
- Phone
- (662) 843-6700
- Mailing address
- PO Box 1748 410 South Street, Cleveland, MS 38732-1748
Authorised official
- Name
- Michael Stuart Clark
- Title
- Pharmacist Owner
- Phone
- (662) 843-6700
Registered specialties (3)
Community/Retail Pharmacy
Primary
Pharmacist
Long Term Care Pharmacy
Registry record
- NPI
- 1306906482
- Entity type
- Organization
- NPI issued
- 11 Dec 2006
- Record last updated
- 20 Mar 2018
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.