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Contact Information

IDEAL CARE CLINICAL SERVICES, LLC
5898 NORTH MAIN
SUITE 109
JOPLIN, MO64801
 Phone: 417-206-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for IDEAL CARE CLINICAL SERVICES, LLC

NPI Number 1356612329
LBN Legal business name IDEAL CARE CLINICAL SERVICES, LLC
Authorized official LORI BARTLETT - (PHARMACIST, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2012
Last updated 01/23/2012 - About 14 years ago
Identifiers
MO License # 2012000069
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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