Kroger Specialty Infusion Tx

LBN: Kroger Specialty Infusion Tx, Llc
Kroger Specialty Infusion Tx is an health care organization with primary practice located at 1748 N Greenville Ave , Richardson TX 75081. 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 Tx, Llc can be contacted via phone (855) 742-7690, or through Cole, Debra J via phone (855) 733-3126.

Contact Information

Primary practice address
1748 N Greenville Ave Richardson TX 75081
Phone: (855) 742-7690
Fax: (855) 742-7689
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 27201 Texas
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1912217399
LBN Legal business name Kroger Specialty Infusion Tx, Llc
DBA Doing business as Kroger Specialty Infusion Tx
Authorized official Cole, Debra J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2010
Last updated Sep 30th, 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 1912217399 NPPES
Texas MEDICAID 321000
Texas MEDICAID 17125324
Texas MEDICAID 7100683220
Texas MEDICAID 9000154018
Texas Other 200474300A
Texas MEDICAID 200474300B
Texas Other 217545703

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