Organization Name: | SCHNUCK MARKETS INC |
NPI Number: | 1366487373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA HERZWURM (MGR 3RD PARTY CLAIMS) |
Mailing Address: | 12332 Manchester Rd Des Peres |
State: | MO US |
Postal Code: | 631314315 |
Phone Number: | 3149650062 |
Fax Number: | 3149659156 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 004116 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |