Dierbergs Wentzville Pharmacy

LBN: Dierbergs Markets Inc
Dierbergs Wentzville Pharmacy is an health care organization with primary practice located at 1820 Wentzville Parkway , Wentzville MO 63385. 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) 887-3317, or through Guenther, Gregory via phone (636) 812-1470.

Contact Information

Primary practice address
1820 Wentzville Parkway Wentzville MO 63385
Phone: (636) 887-3317
Fax: (636) 530-3006
Website:
Map and Directions
Authorized official contact:
Name: Guenther, Gregory
Phone: (636) 812-1470

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2006008312 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1760572705
LBN Legal business name Dierbergs Markets Inc
DBA Doing business as Dierbergs Wentzville 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760572705 NPPES
Missouri MEDICAID 606251908
Missouri Other 2636530

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