Clarksdale Pharmacy, Llc

LBN: Clarksdale Pharmacy, Llc
Clarksdale Pharmacy, Llc is an health care organization with primary practice located at 425 Desoto Ave , Clarksdale MS 38614-5214. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Clarksdale Pharmacy, Llc can be contacted via phone (662) 627-0100, or through Poff, William Eric via phone (662) 624-1011.

Contact Information

Primary practice address
425 Desoto Ave Clarksdale MS 38614-5214
Phone: (662) 627-0100
Fax: (662) 627-0102
Website:
Map and Directions
Authorized official contact:
Name: Poff, William Eric R.PH.
Phone: (662) 624-1011

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1770146128
LBN Legal business name Clarksdale Pharmacy, Llc
DBA Doing business as
Authorized official Poff, William Eric R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2019
Last updated Apr 20th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770146128 NPPES
Mississippi Other 1160882 STATE OF MS BUSINESS ID

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