NPI | 1629167390 |
---|---|
Doing Business As | DIERBERGS DEER CREEK 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 |
Additional Taxonomies | 333600000X Pharmacy (Licence: MO 006651) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2009-01-30 |