| NPI | 1659575983 |
|---|---|
| Doing Business As | CLEAR STREAM LTC |
| Entity Type | Organization |
| Authorized Contact | MARK TAYLOR KLEINBECK President 573-686-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2007013239) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-03-07 |