Provider Demographics
NPI:1255164059
Name:CLEAR MED SOLUTIONS LLC
Entity type:Organization
Organization Name:CLEAR MED SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:479-650-6965
Mailing Address - Street 1:2805 SW 14TH ST STE 11
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-1089
Mailing Address - Country:US
Mailing Address - Phone:479-448-4343
Mailing Address - Fax:888-622-9630
Practice Address - Street 1:2805 SW 14TH ST STE 11
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-1089
Practice Address - Country:US
Practice Address - Phone:479-448-4343
Practice Address - Fax:888-622-9630
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEAR MED SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy