Organization
DIERBERGS MARKETS INC
Active
Other names
DIERBERGS BOGEY HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GUENTHER (DIRECTOR OF PHARMACY)
(636) 812-1470
Entity
Organization
Contact information
Practice address
2021 ZUMBEHL RD, SAINT CHARLES, MO 63303-2723
(636) 947-0929
(636) 530-3009
Mailing address
PO BOX 1070, CHESTERFIELD, MO 63006-1070
(636) 812-1470
(636) 812-1603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
004411
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2622151
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
603681602
—
MO
Enumeration date
10/12/2006
Last updated
01/30/2009
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