Organization
DILLON COMPANIES LLC
Active
Other names
CITY MARKET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
602 N HIGLEY BLVD, RAWLINS, WY 82301
(307) 324-3084
(307) 328-0243
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(303) 778-2774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5201809
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107472500
—
WY
01
—
2111290
PK
—
Enumeration date
06/23/2006
Last updated
08/08/2018
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