Organization
DILLON COMPANY
Active
Organization
DILLON COMPANY
Active
Other names
King Soopers Pharmacy 063
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL MARK WOOLF RPH (DIRECTOR OF PHARMACY)
(513) 762-4672
Entity
Organization
Contact information
Practice address
8200 S HOLLY ST, CENTENNIAL, CO 80122-4012
(303) 779-4242
(303) 843-6021
Mailing address
8200 S HOLLY ST, CENTENNIAL, CO 80122-4012
(303) 779-4242
(303) 843-6021
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
79-7
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03485992
—
CO
01
—
0610267
NCPDP NUMBER
—
01
—
94523
MEDICARE MASS IMMUNIZER
—
Enumeration date
02/20/2007
Last updated
03/07/2023
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