NPI | 1912217399 |
---|---|
Doing Business As | KROGER SPECIALTY INFUSION TX |
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: TX 27201) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
333600000X Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2010-10-19 |
Last Update Date | 2020-09-30 |