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Contact Information

DIERBERGS MARKETS, INCORPORATED
450 OLD SMIZER MILL RD.
FENTON, MO63026
 Phone: 636-349-2666
 Fax: 636-530-3018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DIERBERGS MARKETS INCORPORATED · (Female)

NPI Number 1538258207
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2006
Last updated 03/16/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2000158538
  • MO Medicaid 605711704
  • Other 2633584 OTHER ID NUMBER-COMMERCIAL NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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