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Contact Information

SCHNUCK MARKETS INC
2122 TROY RD
EDWARDSVILLE, IL62025-2540
 Phone: 618-655-0386
 Fax: 618-655-0394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Diabetes Educator

163WD0400X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Medical Specialty

261QM2500X
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SCHNUCK MARKETS INC

NPI Number 1780169540
LBN Legal business name SCHNUCK MARKETS INC
Authorized official LISA DOBBS - (MANAGER OF THIRD PARTY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2018
Last updated 01/27/2019 - About 7 years ago
Identifiers n/a
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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