Organization
IDEAL CARE CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI BARTLETT RPH (PHARMACIST, OWNER)
(417) 206-2273
Entity
Organization
Contact information
Practice address
5898 NORTH MAIN, SUITE 109, JOPLIN, MO 64801
(417) 206-2273
Mailing address
5898 NORTH MAIN, SUITE 109, JOPLIN, MO 64801
(417) 206-2273
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012000069
MO
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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