National Provider Identifier Database

MICHAEL S CLARK I
Pharmacist

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.


Contact Information

MICHAEL S CLARK I
410 SOUTH ST
CLEVELAND, MS38732-3450
Phone: 662-843-6700
Fax: 662-846-6700
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for MICHAEL S CLARK I

NPI Number 1174622930
Credentials
Entity Individual
Enumeration date 09/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 05857
  • MS Medicaid: 04686806
  • MS Other: 09058522 MEDICAID DME
  • MS Other: 2521513 NCPDP
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MICHAEL S CLARK I

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