NPI | 1598069510 |
---|---|
Doing Business As | KING SOOPERS PHARMACY #117 |
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-814) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2011-01-05 |
Last Update Date | 2018-08-07 |