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Michael Stuart Clark I
Pharmacist in Cleveland, Mississippi
NPI 1174622930

Michael Stuart Clark I is a Pharmacist based in Cleveland, MS. Michael Stuart Clark I practices in Cleveland, MS. The NPI Number for Michael Stuart Clark I is 1174622930 and holds a License No. 05857 (Mississippi).

The current practice location address for Michael Stuart Clark I is 410 South St, Cleveland, MS and can be reached out via phone at 662-843-6700 and via fax at 662-846-6700.

Location: 410 South St, Cleveland, MS, 38732-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174622930
Provider Name
Michael Stuart Clark I
Credential
Provider Entity Type
Individual
Gender
Male
Address
410 South St, Cleveland, MS, 38732-3450
Phone Number
662-843-6700
Fax Number
662-846-6700
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
09058522 01 MS MEDICAID DME
2521513 01 MS NCPDP
04686806 05 MS
institution
Provider Business Practice Location Address Details
Address
410 South St
City
Cleveland
State
Mississippi
Zip
38732-3450
Phone Number
662-843-6700
Fax Number
662-846-6700
person
Provider Business Mailing Address Details
Address
410 South St
City
Cleveland
State
Mississippi
Zip
38732-3450
Phone Number
662-843-6700
Fax Number
662-846-6700
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
05857 (Mississippi)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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