Organization
CLEVELAND MEDICAL ARTS PHARMACY INC
Active
Other names
Cleveland Medical Arts Pharmacy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
GUY PHILLIPS (PRESIDENT)
(662) 207-0616
Entity
Organization
Contact information
Practice address
810 E SUNFLOWER RD STE 100D, CLEVELAND, MS 38732-2828
(662) 843-4214
(662) 843-3398
Mailing address
810 E SUNFLOWER RD STE 100D, CLEVELAND, MS 38732-2828
(662) 843-4214
(662) 843-3398
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13291/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030115
—
MS
01
—
2146708
PK
—
Enumeration date
06/11/2006
Last updated
01/30/2025
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