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Organization
SCHNUCK MARKETS INC
Active
Organization
SCHNUCK MARKETS INC
Active
Other names
Schnucks Pharmacy 232
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M DOBBS (MANAGER OF THIRD PARTY)
(314) 994-4902
Entity
Organization
Contact information
Practice address
2122 TROY RD, EDWARDSVILLE, IL 62025-2540
(618) 655-0386
(618) 655-0394
Mailing address
11420 LACKLAND RD, SAINT LOUIS, MO 63146-3559
(314) 994-4902
(314) 994-4586
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
NULL
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/27/2018
Last updated
01/27/2019
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