# CLARKSDALE PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770146128
- **Authorized official:** WILLIAM ERIC POFF R.PH. (PRESIDENT/OWNER)
- **Authorized official phone:** (662) 624-1011

## Contact information

- **Practice address:** 425 DESOTO AVE, CLARKSDALE, MS 38614-5214
- **Practice address phone:** (662) 627-0100
- **Practice address fax:** (662) 627-0102
- **Mailing address:** 425 DESOTO AVE, CLARKSDALE, MS 38614-5214
- **Mailing address phone:** (662) 627-0100
- **Mailing address fax:** (662) 627-0102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2019
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1160882 | STATE OF MS BUSINESS ID | MS |