Dierbergs Town Center Pharmacy

NPI #1710359484 in Wildwood, Missouri

Provider Information

NPI Number: 1710359484
Entity Type: Organization
Organization Name: Dierbergs Town Center Pharmacy
Primary Specialty: Pharmacy
Enumeration Date: Oct 21, 2015
Last Updated: Oct 21, 2015

Practice Location

Address: 2460 TAYLOR ROAD
City: Wildwood
State: Missouri
ZIP Code: 63040
Phone: (636) 458-7450

Authorized Official

Name: MRS. BRENDA MCDANIEL
Title: STAFF PHARMACIST
Phone: (636) 458-7450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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