Organization
DILLON COMPANIES LLC
Active
Other names
King Soopers Pharmacy #137
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (LICENSING MANAGER)
(513) 762-1263
Entity
Organization
Contact information
Practice address
14967 CANDELAS PKWY, ARVADA, CO 80007
(720) 907-6788
(555) 555-5559
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO.1680000166
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177005
PK
—
Enumeration date
12/11/2017
Last updated
04/22/2025
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