Kroger Specialty Pharmacy La Llc

LBN: Kroger Specialty Pharmacy La Llc
Kroger Specialty Pharmacy La Llc is an health care organization with primary practice located at 2731 Manhattan Blvd Ste B17, Harvey LA 70058-6151. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Kroger Specialty Pharmacy La Llc can be contacted via phone (504) 355-4191, or through Cole, Debra J via phone (855) 733-3126.

Contact Information

Primary practice address
2731 Manhattan Blvd Ste B17 Harvey LA 70058-6151
Phone: (504) 355-4191
Fax: (504) 355-4192
Website:
Map and Directions
Authorized official contact:
Name: Cole, Debra J
Phone: (855) 733-3126

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X PHY.006884-IR Louisiana

Profile Details

NPI number 1174708127
LBN Legal business name Kroger Specialty Pharmacy La Llc
DBA Doing business as
Authorized official Cole, Debra J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2008
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 1174708127 NPPES
Kansas MEDICAID 201121390A
Kansas MEDICAID 0171008
Kansas MEDICAID 201309380A
Kansas MEDICAID 7100266960
Kansas MEDICAID Q035630
Kansas MEDICAID 0218110
Kansas MEDICAID 200340250A
Kansas MEDICAID 214213
Kansas MEDICAID 2202669
Kansas MEDICAID 003131098A
Kansas MEDICAID 103142281-0001
Kansas MEDICAID 56970501
Kansas MEDICAID 600053902
Kansas MEDICAID 011924800
Kansas MEDICAID 08531821
Kansas MEDICAID 093928
Kansas MEDICAID 198005000
Kansas MEDICAID 198294407
Kansas MEDICAID 71680063
Kansas MEDICAID 0643670
Kansas Other 2145940

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