Organization
DIERBERGS MARKETS, INCORPORATED
Active
Parent organization
DIERBERGS MARKETS, INCORPORATED
Other names
DIERBERGS FENTON CROSSING PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIERBERGS MARKETS, INCORPORATED
Authorized official
GREG GUENTHER (PHARMACY DIRECTOR)
(636) 812-1472
Entity
Organization
Contact information
Practice address
450 OLD SMIZER MILL RD., FENTON, MO 63026
(636) 349-2666
(636) 530-3018
Mailing address
450 OLD SMIZER MILL RD., FENTON, MO 63026
(636) 349-2666
(636) 530-3018
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
333600000X
Pharmacy
2000158538
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2633584
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
605711704
—
MO
Enumeration date
10/12/2006
Last updated
03/16/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us