KROGER SPECIALTY PHARMACY INC. NPI 1184649782

NPI Information

KROGER SPECIALTY PHARMACY, INC. is a pharmacy in Irvine, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. KROGER SPECIALTY PHARMACY, INC. NPI is 1184649782. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Specialty Pharmacy Ca 3.

The provider's business location address is:

1821 KAISER AVE
IRVINE, CA
ZIP 92614-707
Phone: (855) 733-3126
Fax: (888) 315-3270

The provider's authorized official is Debra J Cole .
The authorized official title is Vice President and has the following contact phone number (855) 733-3126.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 5/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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