MEDICARE: DIERBERGS MARKETS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	004113	MO
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2620068	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811086580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIERBERGS MARKETS INC

Provider Business Mailing Address
First Line	:	PO BOX 1070
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63006-1070
Country	:	US
Telephone Number	:	636-812-1470
Fax Number	:	636-812-1603

Provider Business Practice Location Address
First Line	:	217 SALT LICK RD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-5974
Country	:	US
Telephone Number	:	636-970-3510
Fax Number	:	636-530-3007

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	GREGORY GUENTHER
Credential	:
Telephone Number	:	636-812-1470

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/30/2009

Similar Medicare Providers

1588651616 — DR. JEFFREY M HILL DMD
Practice Location Address:

245 SALT LICK RD
ST PETERS, MO
63376-5974

Practice Phone: 636-397-1474
Practice Fax: 636-397-1464

1689643249 — DR. LAURA M. HEGYI O.D.
Practice Location Address:

227 SALT LICK RD
SAINT PETERS, MO
63376-5974

Practice Phone: 636-970-0250
Practice Fax: 636-276-1061

1609807437 — CLARKSON OPTOMETRY INC
Practice Location Address:

227 SALT LICK RD
SAINT PETERS, MO
63376-5974

Practice Phone: 636-200-4393
Practice Fax: 636-279-1061

1104047869 — DR. CHAD M MUSSER PHARMD
Practice Location Address:

217 SALT LICK RD
SAINT PETERS, MO
63376-5974

Practice Phone: 636-970-3510
Practice Fax:

1982845160 — FOOT HEALERS HOLDINGS - ST. LOUIS, LLC
Practice Location Address:

203 SALT LICK RD
SAINT PETERS, MO
63376-5974

Practice Phone: 636-279-1900
Practice Fax: 636-279-1013

1073952941 — SHARON WILLIAMS
Practice Location Address:

217 SALT LICK RD
SAINT PETERS, MO
63376-5974

Practice Phone: 636-970-3510
Practice Fax:

Directions to “DIERBERGS MARKETS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.