Organization
CARESTL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA RENEE CLABON (CHIEF EXECUTIVE OFFICER)
(314) 367-5820
Entity
Organization
Contact information
Practice address
2425 WHITTIER ST, SAINT LOUIS, MO 63113
(314) 371-3100
(314) 535-4662
Mailing address
2425 WHITTIER ST, SAINT LOUIS, MO 63113-2950
(314) 371-3100
(314) 535-4662
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336M0002X
Mail Order Pharmacy
Primary
2005035951
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2639411
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/09/2010
Last updated
06/07/2018
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