Clark Drug Company, Llc
Community/Retail Pharmacy
741 Main St, Caledonia
Mississippi, 39740-7609
662-356-4000 662-356-4044
Clark Drug Company, Llc is a Community/Retail Pharmacy in Caledonia, Mississippi. It is located at 741 Main St, Caledonia and it's customer support contact number is 662-356-4000. The authorized person of Clark Drug Company, Llc is Mr. Robert Justin Clark, PHARMD who is Owner/ Pharmacist In Charge of the pharmacy and his contact number is 662-356-4000. Active license number of Clark Drug Company, Llc is 09552/1.1 for Community/Retail Pharmacy in Mississippi. Clark Drug Company, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Clark Drug Company, Llc is 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.
Pharmacy Details:
Clark Drug Company, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Clark Drug Company, Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 741 Main St, Caledonia,
Mississippi, 39740-7609 |
| Phone: | 662-356-4000 |
| Fax: | 662-356-4044 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Robert Justin Clark |
| Credentials: | PHARMD |
| Position: | Owner/ Pharmacist In Charge |
| Contact Number: | 662-356-4000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013294461 |
| NPI Enumeration Date: | 14 Nov, 2011 |
| NPI Last Update On: | 19 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clark Drug Company, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 09552/1.1 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 03406798 | Medicaid | Mississippi | |
Medicare Enrollment:
Clark Drug Company, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0244450823 | O20141002000591 | Caledonia Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 478,
Caledonia, Mississippi |
| Zip: | 39740-0478 |
| Phone Number: | 662-356-4000 |
| Fax Number: | 662-356-4044 |
Patients can reach Clark Drug Company, Llc at
741 Main St, Caledonia, Mississippi or can
call on customer care at 662-356-4000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.