Kroger Specialty Infusion Ca, Llc

LBN: Kroger Specialty Infusion Ca, Llc
Kroger Specialty Infusion Ca, Llc is an health care organization with primary practice located at 19110 Van Ness Ave , Torrance CA 90501-1101. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Kroger Specialty Infusion Ca, Llc can be contacted via phone (310) 320-6444, or through Cole, Debra J via phone (855) 733-3126.

Contact Information

Primary practice address
19110 Van Ness Ave Torrance CA 90501-1101
Phone: (310) 320-6444
Fax: (866) 794-4844
Website:
Map and Directions
Authorized official contact:
Name: Cole, Debra J
Phone: (855) 733-3126

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54649 California
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY54649 California

Profile Details

NPI number 1033135983
LBN Legal business name Kroger Specialty Infusion Ca, Llc
DBA Doing business as
Authorized official Cole, Debra J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated May 8th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033135983 NPPES
Indiana MEDICAID 201249880A
Indiana MEDICAID 0643688
Indiana MEDICAID 200520480A
Indiana MEDICAID Q035652
Indiana MEDICAID 1033135983
Indiana MEDICAID 2034743
Indiana MEDICAID 315377
Indiana MEDICAID 7100285000
Indiana MEDICAID 1033135983
Indiana MEDICAID 500671966
Indiana MEDICAID 9000151429

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