Organization
DIERBERGS MARKETS INC
Active
Other names
DIERBERGS MACKENZIE POINTE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GUENTHER (DIRECTOR OF PHARMACY)
(636) 812-1470
Entity
Organization
Contact information
Practice address
7233 WATSON RD, SAINT LOUIS, MO 63119-4401
(314) 752-7881
(636) 530-3013
Mailing address
PO BOX 1070, CHESTERFIELD, MO 63006-1070
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
004977
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2625690
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
603682907
—
MO
Enumeration date
10/13/2006
Last updated
09/26/2008
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