Organization
DILLON COMPANIES LLC
Active
Other names
CITY MARKET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
438 S HWY 24, BUENA VISTA, CO 81211
(719) 395-3149
(719) 395-9372
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
140000002
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002702
PK
—
05
—
70634084
—
CO
Enumeration date
06/18/2006
Last updated
06/01/2023
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