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Organization

DIERBERGS MARKETS INC

Active
Other names
DIERBERGS CLOCKTOWER PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY GUENTHER (DIRECTOR OF PHARMACY)
(636) 812-1470
Entity
Organization

Contact information

Practice address
11298 W FLORISSANT AVE, FLORISSANT, MO 63033-6741
(314) 831-6662
(636) 530-3011
Mailing address
PO BOX 1070, CHESTERFIELD, MO 63006-1070

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
004797
MO
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2624612
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/12/2006
Last updated
09/11/2025
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