NPI | 1598765570 |
---|---|
Doing Business As | KROGER SPECIALTY PHARMACY FL |
Entity Type | Organization |
Authorized Contact | DEBRA J COLE Vice President 855-733-3126 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH17230) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2005-07-29 |
Last Update Date | 2020-09-30 |