| NPI | 1538258207 |
|---|---|
| Doing Business As | DIERBERGS FENTON CROSSING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREG GUENTHER Pharmacy Director 636-812-1472 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 2000158538) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-03-16 |