Last Updated:  12/24/2024 7:08:15 PM

Pharmacy Detail                               

Corporation / Company Owner Name

KROGER SPECIALTY PHARMACY, INC. 

Business (DBA) Name  

KROGER SPECIALTY PHARMACY FL 

License Number 

99-8082 

Type of Pharmacy

Non-Resident 

Address

3200 LAKE EMMA RD STE 1000

City, State, Zip 

LAKE MARY, FL  32746

Country 

 

Issue Date 

11/29/2017 

Renewed Date

10/27/2023

Expiration Date 

11/30/2024 

End Date 

11/12/2024 

Replacing

99-7846

Replaced By

99-9807

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

MELVIN MINHMAN NGUYEN - 20134

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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