Kroger Specialty Pharmacy Ca, Llc in Garden Grove - Parenteral & Enteral Nutrition
Kroger Specialty Pharmacy Ca, Llc - NPI 1013913458
Kroger Specialty Pharmacy Ca, Llc is a Parenteral & Enteral Nutrition in Garden Grove, California. Kroger Specialty Pharmacy Ca, Llc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Kroger Specialty Pharmacy Ca, Llc is 1013913458. The last update date is 2020-05-08.
Kroger Specialty Pharmacy Ca, Llc's current location address is 7373 Lincoln Way, Garden Grove, California. You can contact this provider via phone number 7146226700 and fax number 8665391092. The mailing address for Kroger Specialty Pharmacy Ca, Llc is 7373 Lincoln Way, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kroger Specialty Pharmacy Ca, Llc |
|---|---|
| Address | 7373 Lincoln Way, Garden Grove, California |
| Phone Number | 7146226700 |
| Fax Number | 8665391092 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Cole J Debra |
| Telephone Number | 8557333126 |
NPI Number Detail
| NPI Number | 1013913458 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2020-05-08 |
Provider Mailing Address Detail
| Address | 7373 Lincoln Way |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928410 |
| Phone Number | 7146226700 |
| Fax Number | 8665391092 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24079073 | CO | -- | |
| 1013913458 | CA | -- | |
| 35356383 | NM | -- | |
| 500739393 | OR | -- | |
| 825265 | AZ | -- |
Post Comment/ Review Below
What is the Kroger Specialty Pharmacy Ca, Llc's 1013913458?
The Kroger Specialty Pharmacy Ca, Llc's NPI (National Provider Identifier) Number is 1013913458. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kroger Specialty Pharmacy Ca, Llc's facilities are geographically located?
The facilities of Kroger Specialty Pharmacy Ca, Llc are physically situated at the following location: 7373 Lincoln Way, Garden Grove, CA, 928410.
What is Kroger Specialty Pharmacy Ca, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kroger Specialty Pharmacy Ca, Llc is Parenteral & Enteral Nutrition, and the taxonomy code that categorizes this field of expertise is 332Bp3500X.
On what date did Kroger Specialty Pharmacy Ca, Llc receive its 1013913458 assignment from the Centers for Medicare & Medicaid Services?
The Kroger Specialty Pharmacy Ca, Llc was assigned its 1013913458 on 2005-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kroger Specialty Pharmacy Ca, Llc's details last updated?
The information pertaining to the Kroger Specialty Pharmacy Ca, Llc, including its address, specialty, and other details, was most recently updated on 2020-05-08.