Local City Search for Medical Equipment Suppliers CLEAR STREAM LTC, LLC
Medical Equipment Supplier Yellow Pages
Poplar Bluff, Missouri
Provider NPI: 1659575983
Organization Information:Organization Name: CLEAR STREAM LTC, LLC
Practice Location:
2210 BARRON RD STE B-012 POPLAR BLUFF, MO 63901 US
Tel: 573-686-4556 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2210 BARRON RD STE B-012 POPLAR BLUFF, MO 63901 US
Tel: 573-686-4556 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | MO | 2007013239 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| HIN | K90FQ0Y00 | 01 | |
| PHARMACY PERMIT | 2007013239 | MO | 01 |
| DEA | FC0291179 | MO | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
