Organization
DILLON COMPANIES LLC
Active
Organization
DILLON COMPANIES LLC
Active
Other names
KING SOOPERS 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
3495 S UNIVERSITY BLVD, ENGLEWOOD, CO 80113
(303) 806-2770
(303) 806-2775
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
168-16
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15050556
—
CO
01
—
2137309
PK
—
Enumeration date
10/05/2012
Last updated
08/08/2018
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