Kroger Specialty Pharmacy Ca, Llc

LBN: Kroger Specialty Pharmacy Ca, Llc
Kroger Specialty Pharmacy Ca, Llc is an health care organization with primary practice located at 7373 Lincoln Way , Garden Grove CA 92841-1428. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kroger Specialty Pharmacy Ca, Llc can be contacted via phone (714) 622-6700, or through Cole, Debra J via phone (855) 733-3126.

Contact Information

Primary practice address
7373 Lincoln Way Garden Grove CA 92841-1428
Phone: (714) 622-6700
Fax: (866) 539-1092
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 / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54648 California

Profile Details

NPI number 1013913458
LBN Legal business name Kroger Specialty Pharmacy Ca, Llc
DBA Doing business as
Authorized official Cole, Debra J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated May 8th, 2020 - about 6 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 1013913458 NPPES
Colorado MEDICAID 24079073
Colorado MEDICAID 1013913458
Colorado MEDICAID 35356383
Colorado MEDICAID 500739393
Colorado MEDICAID 825265

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