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South Street Pharmacy
Long Term Care Pharmacy in Cleveland, Mississippi
NPI 1306906482

South Street Pharmacy is a Long Term Care Pharmacy based in Cleveland, MS and is specialized in Long Term Care Pharmacy. South Street Pharmacy practices in Cleveland, MS. The NPI Number for South Street Pharmacy is 1306906482 and holds a License No. 05857 (Mississippi).

The current practice location address for South Street Pharmacy is 410 South St, Cleveland, MS and can be reached out via phone at 662-843-6700.

Location: 410 South St, Cleveland, MS, 38732-1748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306906482
Provider Name
South Street Pharmacy
Credential
Provider Entity Type
Organization
Address
410 South St, Cleveland, MS, 38732-1748
Phone Number
662-843-6700
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04686806 05 MS
03181784 05 MS
2521513 01 MS NABP NUMBER
09058522 01 MS MEDICAID DME
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
person
Provider Business Mailing Address Details
Address
410 South St
City
Cleveland
State
Mississippi
Zip
38732-3450
Phone Number
662-843-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
05857 (Mississippi)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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