Whalio Doctors

NPI 1306906482

South Street Pharmacy

Organisation Community/Retail Pharmacy Cleveland, MS

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
Suppliers Taxonomy 3336C0003X
Pharmacist
Pharmacy Service Providers Taxonomy 183500000X Licence 05857 (MS)
Long Term Care Pharmacy
Suppliers Taxonomy 3336L0003X

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.