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Organization

SCHNUCK MARKETS INC

Active
Other names
Schnucks Pharmacy 232
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M DOBBS (MANAGER OF THIRD PARTY)
(314) 994-4902
Entity
Organization

Contact information

Practice address
2122 TROY RD, EDWARDSVILLE, IL 62025-2540
(618) 655-0386
(618) 655-0394
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
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
09/27/2018
Last updated
01/27/2019
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