# CLEVELAND MEDICAL ARTS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cleveland Medical Arts Pharmacy, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730121336
- **Authorized official:** GUY PHILLIPS (PRESIDENT)
- **Authorized official phone:** (662) 207-0616

## Contact information

- **Practice address:** 810 E SUNFLOWER RD STE 100D, CLEVELAND, MS 38732-2828
- **Practice address phone:** (662) 843-4214
- **Practice address fax:** (662) 843-3398
- **Mailing address:** 810 E SUNFLOWER RD STE 100D, CLEVELAND, MS 38732-2828
- **Mailing address phone:** (662) 843-4214
- **Mailing address fax:** (662) 843-3398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 13291/1.1 | MS | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 01/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030115 | — | MS |
| 01 | — | 2146708 | PK | — |