DIERBERGS MARKETS, INCORPORATED; NPI #1538258207

Contact Information

DIERBERGS MARKETS, INCORPORATED

450 OLD SMIZER MILL RD.
FENTON, MO 63026

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

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NPI Profile & details for DIERBERGS MARKETS, INCORPORATED

NPI # 1538258207

LBN Legal business name DIERBERGS MARKETS, INCORPORATED

Authorized official GREG GUENTHER - (PHARMACY DIRECTOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/12/2006

Last updated 03/16/2021 - About 5 years ago

Identifiers

MO	License #	2000158538
MO	Medicaid	605711704
	Other	2633584	OTHER ID NUMBER-COMMERCIAL NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DIERBERGS MARKETS, INCORPORATED

Contact Information

Specialty

Diabetes Educator

Community/Retail Pharmacy

Pharmacy

NPI Profile & details for DIERBERGS MARKETS, INCORPORATED

Reviews for DIERBERGS MARKETS, INCORPORATED