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Michael Clark
NPI 1174622930 · on the registry since 2006 · sole proprietor
Practice
- Address
- 410 South St
Cleveland, MS 38732 - Phone
- (662) 843-6700
- Fax
- (662) 846-6700
- Organisation at this address
- South Street Pharmacy
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi