Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DIERBERGS MARKETS INC
Active
Organization
DIERBERGS MARKETS INC
Active
Other names
DIERBERGS EDWARDSVILLE CROSSING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GUENTHER (DIRECTOR OF PHARMACY)
(636) 812-1470
Entity
Organization
Contact information
Practice address
6671 EDWARDSVILLE CROSSING DRIVE, EDWARDSVILLE, IL 62025
(618) 307-3817
(618) 307-3816
Mailing address
PO BOX 1070, CHESTERFIELD, MO 63006-1070
(636) 812-1470
(636) 812-1603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
54015911
IL
3336C0003X
Community/Retail Pharmacy
Primary
54015911
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1480071
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/13/2006
Last updated
10/02/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers