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Organization
SCHNUCK MARKETS INC
Active
Organization
SCHNUCK MARKETS INC
Active
Parent organization
SCHNUCK MARKETS INC
Other names
SCHNUCKS PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHNUCK MARKETS INC
Authorized official
LISA DOBBS (MGR 3RD PARTY CLAIMS)
(314) 994-4902
Entity
Organization
Contact information
Practice address
110 CARLYLE PLAZA DR, BELLEVILLE, IL 62221-6678
(618) 234-8097
(618) 234-8199
Mailing address
11420 LACKLAND RD, SAINT LOUIS, MO 63146-3559
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
05412053
MO
333600000X
Pharmacy
05412053
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1465841
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/25/2006
Last updated
01/24/2019
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