Michael Stuart Clark I
Pharmacist
410 South St, Cleveland
Mississippi, 38732-3450
662-843-6700 662-846-6700
Michael Stuart Clark I is a pharmacist in Cleveland, Mississippi. Patients can reach him at 410 South St, Cleveland or contact him on 662-843-6700. Active license number of Michael Stuart Clark I is 05857 for Pharmacist in Mississippi.
Michael Stuart Clark I is 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.
Complete Profile:
Michael Stuart Clark I speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Michael Stuart Clark I |
| Specialization: | Pharmacist |
| Gender: | Male |
| Location: | 410 South St, Cleveland,
Mississippi, 38732-3450 |
| Phone: | 662-843-6700 |
| Fax: | 662-846-6700 |
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 Michael Stuart Clark I are as mentioned below.
| NPI Number: | 1174622930 |
| NPI Enumeration Date: | 21 Sep, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Stuart Clark I are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 05857 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael Stuart Clark I such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 09058522 | Other | Mississippi | Medicaid Dme |
| 2521513 | Other | Mississippi | Ncpdp |
| 04686806 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 410 South St, Po Box 1748
Cleveland, Mississippi |
| Zip: | 38732-3450 |
| Phone Number: | 662-843-6700 |
| Fax Number: | 662-846-6700 |
Patients can reach Michael Stuart Clark I at
410 South St, Cleveland, Mississippi or can
call on phone at 662-843-6700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.