| NPI | 1235165580 |
|---|---|
| Doing Business As | KING SOOPERS PHARMACY #139 |
| Entity Type | Organization |
| Authorized Contact | JESSIE WARMAN Manager Of Pharmacy Licensing 513-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 70000005) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2019-08-21 |