King Soopers Pharmacy
LBN: Dillon Companies Llc
King Soopers Pharmacy is an health care organization with primary practice located at 3050 W Northern Ave , Pueblo CO 81005. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dillon Companies Llc can be contacted via phone (719) 564-0491, or through Warman, Jessie via phone (513) 762-1019.
Contact Information
Primary practice address
3050 W Northern Ave
Pueblo CO 81005
Phone: (719) 564-0491
Fax: (719) 560-7222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 104000025 | Colorado |
Profile Details
| NPI number | 1245275262 |
|---|---|
| LBN Legal business name | Dillon Companies Llc |
| DBA Doing business as | King Soopers Pharmacy |
| Authorized official | Warman, Jessie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Aug 9th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245275262 | NPPES |
| Other | 2000805 | PK | |
| MEDICAID | 03485232 | PK |
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