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CLARKDALE PHARMACY AND GIFTS LLC NPI 1831580778


NPI Information

NPI: 1831580778
Provider Name: CLARKDALE PHARMACY AND GIFTS LLC

Doing Business As: CLARKDALE PHARMACY AND GIFTS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6935C HWY 145
MERIDIAN, MS
ZIP 39301
Phone: (601) 553-0668
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CLARKDALE PHARMACY AND GIFTS LLC is a community/retail pharmacy pharmacy in Meridian, MS. The provider 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. CLARKDALE PHARMACY AND GIFTS LLC NPI is 1831580778. The provider is registered as an organization entity type.
The provider Is Doing Business As Clarkdale Pharmacy And Gifts.

The provider's business location address is:

6935C HWY 145
MERIDIAN, MS
ZIP 39301
Phone: (601) 553-0668
Fax: (601) 553-3048

The provider's authorized official is Daniel Johnson .
The authorized official title is Owner and has the following contact phone number (601) 938-5323.

The enumeration date for this NPI number is 2/13/2015 and was last updated on 7/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy14215/1.1MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100873551MEDICAIDMISSISSIPPI
22150263OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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