Organization
DILLON COMPANIES INC
Active
Other names
KING SOOPERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
9731 W 58TH AVE, ARVADA, CO 80002-2016
(303) 421-1200
(303) 403-2881
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
38814
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03483385
—
CO
01
—
2000811
PK
—
05
—
3483385
—
CO
Enumeration date
06/24/2006
Last updated
05/16/2016
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