Dierbergs Town Center Pharmacy

LBN: Dierbergs Town Center Pharmacy
Dierbergs Town Center Pharmacy is an health care organization with primary practice located at 2460 Taylor Road , Wildwood MO 63040. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Dierbergs Town Center Pharmacy can be contacted via phone (636) 458-7450, or through Mcdaniel, Brenda via phone (636) 458-7450.

Contact Information

Primary practice address
2460 Taylor Road Wildwood MO 63040
Phone: (636) 458-7450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdaniel, Brenda
Phone: (636) 458-7450

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2003031656 Missouri

Profile Details

NPI number 1710359484
LBN Legal business name Dierbergs Town Center Pharmacy
DBA Doing business as
Authorized official Mcdaniel, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2015
Last updated Oct 21st, 2015 - about 9 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 1710359484 NPPES
Missouri MEDICAID 606120103

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