King Soopers Pharmacy

LBN: Dillon Companies Llc
King Soopers Pharmacy is an health care organization with primary practice located at 3600 Table Mesa Dr , Boulder CO 80305. 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 (303) 499-4244, or through Warman, Jessie via phone (513) 762-1019.

Contact Information

Primary practice address
3600 Table Mesa Dr Boulder CO 80305
Phone: (303) 499-4244
Fax: (303) 497-2204
Website:
Map and Directions
Authorized official contact:
Name: Warman, Jessie
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 90000013 Colorado

Profile Details

NPI number 1477589943
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 24th, 2006
Last updated Aug 7th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477589943 NPPES
Other 2000832 PK
MEDICAID 3485299 PK
MEDICAID 03485299 PK

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