Organization
DILLON COMPANIES LLC
Active
Other names
King Soopers Pharmacy #139
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
3050 S PEORIA ST, AURORA, CO 80014-3153
(720) 795-7153
(720) 795-7155
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1090
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
70000005
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03485430
—
CO
01
—
2001218
PK
—
05
—
3485430
—
CO
Enumeration date
06/25/2006
Last updated
08/21/2019
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