Organization
SCHNUCK MARKETS INC
Active
Parent organization
SCHNUCK MARKETS INC
Other names
Schnucks Diabetes Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHNUCK MARKETS INC
Authorized official
LISA M DOBBS (MANAGER OF THIRD PARTY)
(314) 994-4902
Entity
Organization
Contact information
Practice address
11550 PAGE SERVICE DR STE 101B, SAINT LOUIS, MO 63146-3531
(314) 218-3321
(314) 218-3332
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
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
01/24/2019
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