Clear Stream Ltc

LBN: Clear Stream Ltc, Llc
Clear Stream Ltc is an health care organization with primary practice located at 2210 Barron Rd Ste B-012 , Poplar Bluff MO 63901-1908. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Clear Stream Ltc, Llc can be contacted via phone (573) 686-4556, or through Kleinbeck, Mark Taylor via phone (573) 686-4556.

Contact Information

Primary practice address
2210 Barron Rd Ste B-012 Poplar Bluff MO 63901-1908
Phone: (573) 686-4556
Fax: (573) 686-4529
Website:
Map and Directions
Authorized official contact:
Name: Kleinbeck, Mark Taylor RPH
Phone: (573) 686-4556

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 2007013239 Missouri

Profile Details

NPI number 1659575983
LBN Legal business name Clear Stream Ltc, Llc
DBA Doing business as Clear Stream Ltc
Authorized official Kleinbeck, Mark Taylor RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659575983 NPPES
Missouri Other 2007013239 PHARMACY PERMIT
Missouri Other K90FQ0Y00 PHARMACY PERMIT

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