Organization
DILLON COMPANIES LLC
Active
Other names
DILLON PHARMACY #001
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1700 N 14TH AVE, DODGE CITY, KS 67801
(620) 225-6140
(620) 225-8813
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(620) 669-1894
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
208583
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100431440A
—
KS
01
—
2032055
PK
—
05
—
6010086616
—
KS
Enumeration date
06/08/2006
Last updated
08/08/2018
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