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Kroger Specialty Pharmacy, Inc.
Specialty Pharmacy in Lake Mary, Florida
NPI 1598765570

Kroger Specialty Pharmacy, Inc. is a Specialty Pharmacy based in Lake Mary, FL and is specialized in Specialty Pharmacy. Kroger Specialty Pharmacy, Inc. practices in Lake Mary, FL. The NPI Number for Kroger Specialty Pharmacy, Inc. is 1598765570 and holds a License No. (Florida).

The current practice location address for Kroger Specialty Pharmacy, Inc. is 3200 Lake Emma Rd Unit 1000, Lake Mary, FL and can be reached out via phone at 855-733-3126 and via fax at 888-315-3270. You can also correspond with Kroger Specialty Pharmacy, Inc. through the mailing address at 3200 LAKE EMMA RD UNIT 1000, LAKE MARY, FL - 32746-3358 (mailing address contact number: 855-733-3126).

Location: 3200 Lake Emma Rd Unit 1000, Lake Mary, FL, 32746-3358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598765570
Provider Name
Kroger Specialty Pharmacy, Inc.
Credential
Provider Entity Type
Organization
Address
3200 Lake Emma Rd Unit 1000, Lake Mary, FL, 32746-3358
Phone Number
855-733-3126
Fax Number
888-315-3270
Provider Enumeration Date
07/29/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100246590A 05 OK
1010381 05 VT
1531290 05 TN
1598765570 05 MN
3087712 05 NH
33321884 05 CO
500628537 05 OR
7038923 05 MT
1044873 05 WA
7100166410 05 KY
7F7230 05 SC
008003029 05 CT
1598765570 05 CA
582023 05 TX
9094202 05 NJ
0018492980003 05 PA
003119890 05 CT
0541920 05 IA
1451031 05 ND
1598765570 05 ME
1598765570 05 MI
2207678 05 OH
416817800 05 MD
0022363802 05 FL
022363800 05 FL
0270686 05 MT
03105699 05 NY
1028738 05 AK
1598765570 05 ID
1598765570 05 NC
057055900 05 DC
200297170A 05 IN
500626260 05 OR
094403300 05 MD
100246590B 05 OK
100444750A 05 KS
115772800 05 WY
1598765570 05 VA
536089 05 AZ
1598765570 05 NV
DM1317 05 SC
institution
Provider Business Practice Location Address Details
Address
3200 Lake Emma Rd Unit 1000
City
Lake Mary
State
Florida
Zip
32746-3358
Phone Number
855-733-3126
Fax Number
888-315-3270
person
Provider Business Mailing Address Details
Address
3200 Lake Emma Rd Unit 1000
City
Lake Mary
State
Florida
Zip
32746-3358
Phone Number
855-733-3126
Fax Number
888-315-3270
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PH17230 (Florida)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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