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
2325 S COLLEGE AVE, FORT COLLINS, CO 80525
(970) 484-1410
(970) 237-6460
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
440000007
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03484458
—
CO
01
—
2000808
PK
—
Enumeration date
06/28/2006
Last updated
04/22/2025
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