| NPI | 1831580778 |
|---|---|
| Doing Business As | CLARKDALE PHARMACY AND GIFTS |
| Entity Type | Organization |
| Authorized Contact | DANIEL JOHNSON Owner 601-938-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 14215/1.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2016-07-06 |