Dierbergs Markets Inc
Organization Active NPI Community/Retail Pharmacy · Shiloh, IL
NPI 1902995673 · NPPES record last updated Jan 30, 2009
Key facts
- NPI
- 1902995673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- DIERBERGS MARKETS INC
- Practice address
- 4000 Green Mount Crossing Dr
Shiloh, IL 62269-7287 - Phone
- (618) 628-8085
- Fax
- (636) 530-3000
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Gregory Guenther
- Title
- Director of Pharmacy
- Phone
- (636) 812-1470
National Provider Directory
Locations
4000 Green Mount Crossing Dr
Shiloh, IL 62269
Phone (618) 628-8085
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5401987 | IL | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4000 Green Mount Crossing Dr
Shiloh, IL 62269-7287
Mailing address
PO Box 1070
Chesterfield, MO 63006-1070
Phone (636) 812-1470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1476161 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- DIERBERGS GREEN MOUNT CROSSING PHARMACY
Other providers in Shiloh, IL
- Lydia Noel Davis
- Jordan Dellamano
- Suzanne Depaulo
- DHP of Illinois SC
- Molly Elizabeth Diecker
- Robert J Dizes Jr.
- Kathryn Marie Dominick
- Amy Lynn Dossett
- Deryl Wayne Drum
- Bertram E Drury
All providers in Shiloh, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.