Organization
CLEARWATER HEALTH RESOURCES INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA GRONSKI (OWNER)
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620118604
—
MO
Enumeration date
05/19/2008
Last updated
08/06/2009
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