NPI | 1841720398 |
---|---|
Doing Business As | KING SOOPERS PHARMACY #134 |
Entity Type | Organization |
Authorized Contact | JESSIE WARMAN Pharmacy Licensing Manager 513-762-1019 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2017-06-18 |
Last Update Date | 2018-08-09 |