Caledonia Pharmacy

LBN: Clark Drug Company, Llc
Caledonia Pharmacy is an health care organization with primary practice located at 741 Main St , Caledonia MS 39740-7609. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Clark Drug Company, Llc can be contacted via phone (662) 356-4000, or through Clark, Robert Justin via phone (662) 356-4000.

Contact Information

Primary practice address
741 Main St Caledonia MS 39740-7609
Phone: (662) 356-4000
Fax: (662) 356-4044
Website:
Map and Directions
Authorized official contact:
Name: Clark, Robert Justin PHARMD
Phone: (662) 356-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 09552/1.1 Mississippi

Profile Details

NPI number 1013294461
LBN Legal business name Clark Drug Company, Llc
DBA Doing business as Caledonia Pharmacy
Authorized official Clark, Robert Justin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2011
Last updated May 19th, 2023 - about 3 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 1013294461 NPPES
Mississippi MEDICAID 03406798

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