Organization Name: | SCHNUCK MARKETS INC |
NPI Number: | 1093741340 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA HERZWURM (MGR 3RD PARTY CLAIMS) |
Mailing Address: | 2511 State St East Saint Louis |
State: | IL US |
Postal Code: | 622052322 |
Phone Number: | 6182742023 |
Fax Number: | 6182742024 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 05412061 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |