| Kroger | |
|
16325 Ventura Blvd Encino CA 91436-2101 | |
| (818) 728-4515 | |
| Not Available |
| Full Name | Kroger |
|---|---|
| Speciality | Clinic/center |
| Location | 16325 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Lord Sarino (PHARMACY CLINICAL COORDINATOR) |
| Authorized Official Contact | 3108844733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kroger 16325 Ventura Blvd Encino CA 91436-2101 Ph: (818) 728-4515 | Kroger 16325 Ventura Blvd Encino CA 91436-2101 Ph: (818) 728-4515 |
| NPI Number | 1639562820 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639562820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 50440 (California) | Primary |
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