Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Street Pharmacy

Organization Pharmacist · NPI 1306906482

South Street Pharmacy is a Pharmacist in Cleveland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
3

Practice location Address checks out

410 S St
Cleveland, MS 38732-3450
Phone: (662) 843-6700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacist Taxonomy 183500000X · Licence 05857 (MS)
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1306906482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Clark — Pharmacist Owner · (662) 843-6700
NPI enumeratedDecember 11, 2006
Last updated in NPPESMarch 20, 2018
Mailing addressPo Box 1748, 410 South Street, Cleveland, MS 38732-1748

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