Organization
CLARKSDALE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ERIC POFF R.PH. (PRESIDENT/OWNER)
(662) 624-1011
Entity
Organization
Contact information
Practice address
425 DESOTO AVE, CLARKSDALE, MS 38614-5214
(662) 627-0100
(662) 627-0102
Mailing address
425 DESOTO AVE, CLARKSDALE, MS 38614-5214
(662) 627-0100
(662) 627-0102
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160882
STATE OF MS BUSINESS ID
MS
Enumeration date
04/20/2019
Last updated
09/11/2025
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