| NPI | 1346210549 |
|---|---|
| Doing Business As | KROGER SPECIALTY INFUSION AL |
| Entity Type | Organization |
| Authorized Contact | DEBRA J COLE Vice President 855-733-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: AL 110739) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-05-08 |