Kroger Specialty Infusion Al, Llc, NPI 1346210549
Home Infusion Therapy Pharmacy in Dothan, AL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1346210549
NPI Entity Type Organization
Provider Name Kroger Specialty Infusion Al, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2511 Ross Clark Cir, Dothan, AL, US
Provider Mailing Address 2511 Ross Clark Circle, Dothan, AL, US, 36301
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Debra J Cole
Official Position VICE PRESIDENT
Phone 855-733-3126

Primary Taxonomy

Taxonomy Code

3336H0001X

Taxonomy Name Home Infusion Therapy Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 110739
License State AL
Description Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Other Organization Name

Kroger Specialty Infusion AL
Doing Business As

Business Address

Kroger Specialty Infusion Al, Llc
2511 Ross Clark Cir

Dothan, AL, US

Phone: 334-794-1126
Fax: 334-793-0592

Mailing Address

Kroger Specialty Infusion Al, Llc
2511 Ross Clark Circle
Dothan, AL, US
ZIP 36301
Phone: 334-794-1126
Fax: 334-793-0592

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

3336C0004X

Suppliers

Pharmacy

No

3336S0011X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
009920285 AL MEDICAID 05
031036100 FL MEDICAID 05
003188543A GA MEDICAID 05
1993756 PK 01
031036101 FL MEDICAID 05
100003469 AL MEDICAID 05
003159485B GA MEDICAID 05

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