Organization
DILLON COMPANIES LLC
Active
Other names
BAKERS 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
3614 TWIN CREEK DR, BELLEVUE, NE 68123
(402) 292-3580
(402) 292-2419
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
2619
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025138600
—
NE
01
—
2055818
PK
—
Enumeration date
06/08/2006
Last updated
08/08/2018
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