Michael Stuart Clark in Cleveland - Pharmacist
Michael Stuart Clark - NPI 1174622930
Michael Stuart Clark is a Pharmacist in Cleveland, Mississippi. Michael Stuart Clark practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Michael Stuart Clark is 1174622930. The last update date is 2007-07-08.
Michael Stuart Clark's current location address is 410 South St, Cleveland, Mississippi. You can contact this provider via phone number 6628436700 and fax number 6628466700. The mailing address for Michael Stuart Clark is 410 South St, Cleveland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Stuart Clark |
|---|---|
| Address | 410 South St, Cleveland, Mississippi |
| Phone Number | 6628436700 |
| Fax Number | 6628466700 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174622930 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 410 South St |
|---|---|
| City | Cleveland |
| State | Mississippi (MS) |
| Post Code | 387323450 |
| Phone Number | 6628436700 |
| Fax Number | 6628466700 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5857 |
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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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9058522 | MS | MEDICAID DME | |
| 2521513 | MS | NCPDP | |
| 4686806 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Stuart Clark by the Centers for Medicare & Medicaid Services?
The Michael Stuart Clark has been issued the NPI (National Provider Identifier) 1174622930, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael Stuart Clark is located?
The Michael Stuart Clark is situated at the following address: 410 South St, Cleveland, MS, 387323450.
What is the Michael Stuart Clark's area of specialization and corresponding taxonomy classification?
The Michael Stuart Clark's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1174622930 to Michael Stuart Clark?
The Centers for Medicare & Medicaid Services assigned the 1174622930 to Michael Stuart Clark on 2006-09-21.
As of what date was the information regarding Michael Stuart Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Stuart Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1982607784
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