Organization
DILLON COMPANIES LLC
Active
Other names
CITY MARKET PHARMACY #445
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
165 COUNTRY CENTER DR, PAGOSA SPRINGS, CO 81147
(970) 731-6006
(970) 731-6015
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(303) 778-2774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1000000002
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003205
PK
—
05
—
32381085
—
CO
Enumeration date
06/23/2006
Last updated
08/07/2018
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