Organization
DIERBERGS MARKETS INC
Active
Other names
DIERBERGS SOUTHROADS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GUENTHER (DIRECTOR OF PHARMACY)
(636) 812-1470
Entity
Organization
Contact information
Practice address
12420 TESSON FERRY RD, SAINT LOUIS, MO 63128-2702
(314) 849-3880
(636) 530-3001
Mailing address
PO BOX 1070, CHESTERFIELD, MO 63006-1070
(636) 812-1470
(636) 812-1603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
005302
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2627531
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
603681404
—
MO
Enumeration date
10/12/2006
Last updated
04/04/2014
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