| NPI | 1568881795 |
|---|---|
| Doing Business As | KING SOOPERS PHARMACY #136 |
| Entity Type | Organization |
| Authorized Contact | JESSIE WARMAN Manager Of Pharmacy Licensing 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.1680000057) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-08-06 |