Organization
CLAREST HEALTH 7931, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINCY VARGHESE PHARM D (CORPORATE COMPLIANCE OFFICER)
(631) 359-9711
Entity
Organization
Contact information
Practice address
509 S UNION AVE, SPRINGFIELD, MO 65802-2659
(417) 865-2900
(417) 865-2901
Mailing address
230 SEA LN, FARMINGDALE, NY 11735-3900
(631) 359-9711
(631) 212-5311
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2008030421
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117411
PK
—
05
—
606395903
—
MO
Enumeration date
10/14/2008
Last updated
08/25/2023
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