# KING SOOPERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346795903
- **Authorized official:** IYOBOSA SANDRA OSA-EDOH PHARM.D (PHARMACIST)
- **Authorized official phone:** (314) 757-4031

## Contact information

- **Practice address:** 65 TEJON ST, DENVER, CO 80223-1221
- **Practice address phone:** (314) 757-4031
- **Mailing address:** 65 TEJON ST, DENVER, CO 80223-1221
- **Mailing address phone:** (314) 757-4031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 0021435 | CO | Yes |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 08/23/2016