Organization
DIERBERGS MARKETS INC
Active
Other names
Dierbergs Des Peres
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GUENTHER (DIR OF PHCY)
(636) 812-1472
Entity
Organization
Contact information
Practice address
1080 LINDEMANN RD, DES PERES, MO 63131-4526
(314) 238-0444
Mailing address
PO BOX 1070, CHESTERFIELD, MO 63006-1070
(636) 812-1470
(636) 812-1603
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012021344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2640349
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/10/2012
Last updated
04/04/2014
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