Dierbergs Heritage Pharmacy
LBN: Dierbergs Markets Inc
Dierbergs Heritage Pharmacy is an health care organization with primary practice located at 12595 Olive Street Road , St Louis MO 63141. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dierbergs Markets Inc can be contacted via phone (314) 542-2194, or through Guenther, Gregory via phone (636) 812-1470.
Contact Information
Primary practice address
12595 Olive Street Road
St Louis MO 63141
Phone: (314) 542-2194
Fax: (636) 530-3015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 005059 | Missouri |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1003906041 |
|---|---|
| LBN Legal business name | Dierbergs Markets Inc |
| DBA Doing business as | Dierbergs Heritage Pharmacy |
| Authorized official | Guenther, Gregory |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jan 30th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003906041 | NPPES |
| Other | 2626123 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 603682105 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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