Dillon Companies LLC
Pharmacy, Community/Retail Pharmacy in Pueblo, CO. Organization (NPI-2).
NPI number1811052236
StatusActive
Last updated in NPPESAug 9, 2018
Details
- NPI
- 1811052236
- Entity type
- Organization (NPI-2)
- Legal business name
- Dillon Companies LLC
- Organization subpart
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Aug 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 1040000027 | CO | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- King Soopers Pharmacy (Doing Business As)
Practice location
102 W 29th StPueblo, CO 81008
Phone 719-544-0870 · Fax 719-546-6603
Mailing address
Po Box 842772Boston, MA 02284-2772
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Jessie Warman
Manager Of Pharmacy Licensing
5137621019
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