Dierbergs Markets Inc

NPI 1003906041 - Pharmacy - 333600000X

NPI Details
NPI 1003906041
Enumeration Date 10/13/2006
Last Updated 01/30/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GREGORY GREGORY
Position DIRECTOR OF PHARMACY
Phone (314) 542-2194
Fax (636) 530-3015
Practice Location
12595 OLIVE STREET ROAD
ST LOUIS MO, 63141, US
Phone (314) 542-2194
Fax (636) 530-3015
Business Location
PO BOX 1070
CHESTERFIELD MO, 63006-1070, US
Phone (636) 812-1470
Fax (636) 812-1603
Toxanomy
Taxonomy Code 333600000X
License State Missouri
License Number 005059
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According to our database, Dierbergs Markets Inc NPI is 1003906041, taxonomy code is 333600000X and license number is 005059, license state is located at Missouri. Dierbergs Markets Inc physically located at 12595 Olive Street Road, St Louis MO, 63141. NPI Number 1033115704 has the healthcare provider type.

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1003906041 NPI number is provided on an as is basis without warranty of any kind. 1003906041 is maintained by the National Plan & Provider Enumeration System. The contents of Dierbergs Markets Inc are for informational purposes only.