| NPI | 1508146010 |
|---|---|
| Doing Business As | KROGER SPECIALTY PHARMACY FL 2 |
| Entity Type | Organization |
| Authorized Contact | DEBRA J COLE Vice President 855-733-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH25629) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2020-09-30 |