Kroger Specialty Infusion Al

LBN: Kroger Specialty Infusion Al, Llc
Kroger Specialty Infusion Al is an health care organization with primary practice located at 2511 Ross Clark Cir , Dothan AL 36301-4912. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Kroger Specialty Infusion Al, Llc can be contacted via phone (334) 794-1126, or through Cole, Debra J via phone (855) 733-3126.

Contact Information

Primary practice address
2511 Ross Clark Cir Dothan AL 36301-4912
Phone: (334) 794-1126
Fax: (334) 793-0592
Website:
Map and Directions
Authorized official contact:
Name: Cole, Debra J
Phone: (855) 733-3126

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 110739 Alabama
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1346210549
LBN Legal business name Kroger Specialty Infusion Al, Llc
DBA Doing business as Kroger Specialty Infusion Al
Authorized official Cole, Debra J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated May 8th, 2020 - about 4 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 1346210549 NPPES
Alabama MEDICAID 009920285
Alabama MEDICAID 031036100
Alabama MEDICAID 003188543A
Alabama Other 1993756
Alabama MEDICAID 031036101
Alabama MEDICAID 100003469
Alabama MEDICAID 003159485B

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