Clear Stream Ltc, LLC
NPI #1659575983 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1659575983
- Entity Type
- Organization
- Organization Name
- Clear Stream Ltc, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jun 12, 2007
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 2210 BARRON RD STE B-012
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-1908
- Phone
- (573) 686-4556
Authorized Official
- Name
- MR. MARK TAYLOR KLEINBECK, RPH
- Title
- PRESIDENT
- Phone
- (573) 686-4556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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