King Soopers Pharmacy 063

LBN: Dillon Company
King Soopers Pharmacy 063 is an health care organization with primary practice located at 8200 S Holly St , Centennial CO 80122-4012. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Dillon Company can be contacted via phone (303) 779-4242, or through Woolf, Wendell Mark via phone (513) 762-4672.

Contact Information

Primary practice address
8200 S Holly St Centennial CO 80122-4012
Fax: (303) 843-6021
Website:
Authorized official contact:
Name: Woolf, Wendell Mark RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 79-7 Colorado

Profile Details

NPI number 1871638841
LBN Legal business name Dillon Company
DBA Doing business as King Soopers Pharmacy 063
Authorized official Woolf, Wendell Mark RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871638841 NPPES
Colorado MEDICAID 03485992
Colorado Other 94523
Colorado Other 0610267

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