Organization
DILLON COMPANIES LLC
Active
Other names
KING SOOPERS PHARMACY #112
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1045 S 1ST ST, BENNETT, CO 80102
(303) 644-5080
(303) 647-4242
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
698
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997760
PK
—
05
—
36779334
—
CO
Enumeration date
08/17/2007
Last updated
04/22/2025
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