Organization
DILLON COMPANIES LLC
Active
Other names
DILLON'S PHARMACY #089
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1910 W 21ST ST N, WICHITA, KS 67203
(316) 838-5908
(316) 838-7239
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(620) 669-1894
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
210162
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100431240F
—
KS
01
—
2027824
PK
—
Enumeration date
02/12/2008
Last updated
08/07/2018
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