Organization
KING SOOPERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYOBOSA SANDRA OSA-EDOH PHARM.D (PHARMACIST)
(314) 757-4031
Entity
Organization
Contact information
Practice address
65 TEJON ST, DENVER, CO 80223-1221
(314) 757-4031
Mailing address
65 TEJON ST, DENVER, CO 80223-1221
(314) 757-4031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021435
CO
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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