Dierbergs Marketplace Pharmacy

LBN: Dierbergs Markets Inc
Dierbergs Marketplace Pharmacy is an health care organization with primary practice located at 1730 Clarkson Rd , Chesterfield MO 63017-4976. 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 (636) 537-9408, or through Guenther, Gregory via phone (636) 812-1470.

Contact Information

Primary practice address
1730 Clarkson Rd Chesterfield MO 63017-4976
Phone: (636) 537-9408
Fax: (636) 530-3012
Website:
Map and Directions
Authorized official contact:
Name: Guenther, Gregory
Phone: (636) 812-1470

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 004870 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1275622946
LBN Legal business name Dierbergs Markets Inc
DBA Doing business as Dierbergs Marketplace Pharmacy
Authorized official Guenther, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 26th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275622946 NPPES
Other 2625070 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 603682600 OTHER ID NUMBER-COMMERCIAL NUMBER

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