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DIERBERGS MARKETS INC NPI 1457440125


NPI Information

NPI: 1457440125
Provider Name: DIERBERGS MARKETS INC

Doing Business As: DIERBERGS CLOCKTOWER PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
11298 W FLORISSANT AVE
FLORISSANT, MO
ZIP 63033
Phone: (314) 831-6662
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DIERBERGS MARKETS INC is a pharmacy in Florissant, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DIERBERGS MARKETS INC NPI is 1457440125. The provider is registered as an organization entity type.
The provider Is Doing Business As Dierbergs Clocktower Pharmacy.

The provider's business location address is:

11298 W FLORISSANT AVE
FLORISSANT, MO
ZIP 63033-741
Phone: (314) 831-6662
Fax: (636) 530-3011

The provider's authorized official is Gregory Guenther .
The authorized official title is Director Of Pharmacy and has the following contact phone number (636) 812-1470.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy004797MISSOURIYes
23336C0003XPharmacyCommunity/Retail PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12624612OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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