Dierbergs Fenton Crossing Pharmacy

LBN: Dierbergs Markets, Incorporated
Dierbergs Fenton Crossing Pharmacy is an health care organization with primary practice located at 450 Old Smizer Mill Rd. , Fenton MO 63026. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Nursing Service Providers / Diabetes Educator is the primary health care specialty. Dierbergs Markets, Incorporated can be contacted via phone (636) 349-2666, or through Guenther, Greg via phone (636) 812-1472.

Contact Information

Primary practice address
450 Old Smizer Mill Rd. Fenton MO 63026
Fax: (636) 530-3018
Website:
Authorized official contact:
Name: Guenther, Greg

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X
Suppliers / Pharmacy 333600000X 2000158538 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1538258207
LBN Legal business name Dierbergs Markets, Incorporated
DBA Doing business as Dierbergs Fenton Crossing Pharmacy
Authorized official Guenther, Greg
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 12th, 2006
Last updated Mar 16th, 2021 - about 5 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 1538258207 NPPES
Other 2633584 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 605711704 OTHER ID NUMBER-COMMERCIAL NUMBER

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