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Organization

KROGER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LORD SARINO PHARM.D. (PHARMACY CLINICAL COORDINATOR)
(310) 884-4733
Entity
Organization

Contact information

Practice address
16325 VENTURA BLVD, ENCINO, CA 91436-2101
(818) 728-4515
Mailing address
16325 VENTURA BLVD, ENCINO, CA 91436-2101
(818) 728-4515

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
50440
CA

Other

Enumeration date
03/11/2015
Last updated
03/11/2015
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