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 |