South Street Pharmacy is not a DME supplier for medicare equipments and products.
South Street Pharmacy is a Community/Retail Pharmacy in Cleveland, Mississippi. It is located at 410 South St, Cleveland and it's customer support contact number is 662-843-6700. The authorized person of South Street Pharmacy is Michael Stuart Clark Ii who is Pharmacist Owner of the pharmacy and his contact number is 662-843-6700. South Street Pharmacy 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:
South Street Pharmacy 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:
South Street Pharmacy
Type:
Community/Retail Pharmacy
Location:
410 South St, Cleveland, Mississippi, 38732-3450
Phone:
662-843-6700
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:
Michael Stuart Clark Ii
Position:
Pharmacist Owner
Contact Number:
662-843-6700
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:
1306906482
NPI Enumeration Date:
11 Dec, 2006
NPI Last Update On:
20 Mar, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Street Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Primary
Pharmacist
05857
Mississippi
Secondary
Long Term Care Pharmacy
Secondary
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
04686806
Medicaid
Mississippi
03181784
Medicaid
Mississippi
2521513
Other
Mississippi
Nabp Number
09058522
Other
Mississippi
Medicaid Dme
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 1748, 410 South Street Cleveland, Mississippi
Zip:
38732-1748
Phone Number:
662-843-6700
Fax Number:
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Patients can reach South Street Pharmacy at 410 South St, Cleveland, Mississippi or can call on customer care at 662-843-6700.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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