| NPI | 1184649782 |
|---|---|
| Doing Business As | KROGER SPECIALTY PHARMACY CA 3 |
| Entity Type | Organization |
| Authorized Contact | DEBRA J COLE Vice President 855-733-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY51548) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-05-08 |