Kroger Specialty Pharmacy Fl 2

LBN: Kroger Specialty Pharmacy Fl 2 Llc
Kroger Specialty Pharmacy Fl 2 is an health care organization with primary practice located at 6435 Hazeltine National Dr Ste 140 , Orlando FL 32822-5156. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Kroger Specialty Pharmacy Fl 2 Llc can be contacted via phone (855) 274-1694, or through Cole, Debra J via phone (855) 733-3126.

Contact Information

Primary practice address
6435 Hazeltine National Dr Ste 140 Orlando FL 32822-5156
Phone: (855) 274-1694
Fax: (855) 819-6922
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 / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X PH25629 Florida

Profile Details

NPI number 1508146010
LBN Legal business name Kroger Specialty Pharmacy Fl 2 Llc
DBA Doing business as Kroger Specialty Pharmacy Fl 2
Authorized official Cole, Debra J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2011
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 1508146010 NPPES
Florida MEDICAID 004264401
Florida MEDICAID 0406939
Florida MEDICAID 097296
Florida MEDICAID 1508146010
Florida Other 201116160B
Florida MEDICAID 2049652
Florida MEDICAID Q036221
Florida MEDICAID 003131027B
Florida MEDICAID 004264400
Florida MEDICAID 0506711
Florida MEDICAID 1508146010
Florida MEDICAID 1508146010
Florida MEDICAID 16221397
Florida MEDICAID 163522375
Florida MEDICAID 500687694
Florida Other 7100257570
Florida MEDICAID 100264920-00
Florida MEDICAID 103011190-0001
Florida Other 1508146010
Florida MEDICAID 1508146010
Florida Other 18-20-CC-9559
Florida Other 200590550A
Florida Other 201116160A
Florida MEDICAID 64770109
Florida MEDICAID 003131027A
Florida MEDICAID 0212596
Florida MEDICAID 1508146010
Florida MEDICAID 1508146010
Florida Other Q036221
Florida MEDICAID 0406827
Florida Other 1508146010
Florida MEDICAID 1508146010
Florida Other 2131644
Florida MEDICAID 3102337
Florida MEDICAID 3106044
Florida MEDICAID 150015500
Florida MEDICAID 216017
Florida MEDICAID 1025997
Florida MEDICAID 201121900A
Florida MEDICAID 27828701
Florida MEDICAID 7F5629
Florida MEDICAID DM1542
Florida MEDICAID 0518565
Florida Other 15-17-CC-9559
Florida MEDICAID 1508146010
Florida MEDICAID 1508146010
Florida MEDICAID 500686927

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