| NPI | 1033209077 |
|---|---|
| Doing Business As | DIERBERGS EDWARDSVILLE CROSSING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY GUENTHER Director Of Pharmacy 636-812-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 54015911) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 54015911) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-10-02 |