Clearwater Health Resources Inc
Organization Active NPI Community/Retail Pharmacy · Piedmont, MO
NPI 1376524959 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1376524959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 006585 (MO)
- Legal business name
- CLEARWATER HEALTH RESOURCES INC
- Practice address
- RR 4 Box 4515
Piedmont, MO 63957-9417 - Phone
- (573) 223-4235
- Fax
- (573) 223-4184
- NPI assigned
- Nov 9, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- CLEARWATER HEALTH RESOURCES INC
Authorized official
- Name
- Julia Ann Gronski
- Title
- President
- Phone
- (573) 223-4235
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Clearwater Health Resources Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 006585 | MO | Yes |
Addresses
Primary practice location
RR 4 Box 4515
Piedmont, MO 63957-9417
Mailing address
PO Box 278
Piedmont, MO 63957-0278
Phone (573) 223-4235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2609381 | Other | MO | NCPDP |
| 600118608 | Medicaid | MO |
Other names
- MEDICAL CENTER PHARMACY
Other providers in Piedmont, MO
- Nicole Marie Burse
- Theron Burse
- Clayton Joe Carson
- Clark'S Mountain Management, Corp
- Clearwater Ambulance District
- Clearwater Health Resources Inc
- Clearwater R-1 School District
- Clearwater Vision Center
- Cloee Click
- Sarah Rose Conner
All providers in Piedmont, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.