NPI | 1104331610 |
---|---|
Doing Business As | SCHNUCKS DIABETES CARE CENTER |
Entity Type | Organization |
Authorized Contact | LISA M DOBBS Manager Of Third Party 314-994-4902 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2017-12-06 |
Last Update Date | 2019-01-24 |