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Contact Information

DIERBERGS MARKETS INC
1820 WENTZVILLE PARKWAY
WENTZVILLE, MO63385
 Phone: 636-887-3317
 Fax: 636-530-3006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

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 INC

NPI Number 1760572705
LBN Legal business name DIERBERGS MARKETS INC
Authorized official GREGORY GUENTHER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 01/30/2009 - About 17 years ago
Identifiers
MO License # 2006008312
MO Medicaid 606251908
Other 2636530 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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