Organization
CLEARWATER HEALTH RESOURCES INC
Active
Parent organization
CLEARWATER HEALTH RESOURCES INC
Other names
MEDICAL CENTER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEARWATER HEALTH RESOURCES INC
Authorized official
JULIA ANN GRONSKI (PRESIDENT)
(573) 223-4235
Entity
Organization
Contact information
Practice address
RR 4 BOX 4515, PIEDMONT, MO 63957-9417
(573) 223-4235
(573) 223-4184
Mailing address
PO BOX 278, PIEDMONT, MO 63957-0278
(573) 223-4235
(573) 223-4184
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006585
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2609381
NCPDP
MO
05
—
600118608
—
MO
Enumeration date
11/09/2005
Last updated
05/19/2008
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