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Nursing Facility Supplies, Customized Equipment

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KROGER SPECIALTY INFUSION CA, LLC

Medical Equipment Supplier Yellow Pages

Torrance, California

Provider NPI: 1033135983

Organization Information:
Organization Name:  KROGER SPECIALTY INFUSION CA, LLC


Practice Location:
19110 VAN NESS AVE  TORRANCE, CA 90501 US
Tel: 310-320-6444  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N3336C0003XSuppliers
Pharmacy
CAPHY54649
Y3336H0001XSuppliers
Pharmacy
CAPHY54649

Other Provider Identifiers:

IssuerNumberStateType
7100285000KY05
200520480AOK05
Q035652TN05
1033135983MN05
1033135983CA05
201249880AIN05
2034743WA05
9000151429CO05
500671966OR05
0643688NJ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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