Kroger Pharmacy

LBN: Kroger Limited Partnership I
Kroger Pharmacy is an health care organization with primary practice located at 25 Holden Rd , Logan WV 25601-4010. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kroger Limited Partnership I can be contacted via phone (304) 239-2380, or through Seilhamer, Lysette via phone (515) 762-1090.

Contact Information

Primary practice address
25 Holden Rd Logan WV 25601-4010
Phone: (304) 239-2380
Fax: (304) 239-2384
Website:
Map and Directions
Authorized official contact:
Name: Seilhamer, Lysette
Phone: (515) 762-1090

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 552289 West Virginia

Profile Details

NPI number 1043244833
LBN Legal business name Kroger Limited Partnership I
DBA Doing business as Kroger Pharmacy
Authorized official Seilhamer, Lysette
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated May 13th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043244833 NPPES
West Virginia MEDICAID 0013178045
West Virginia Other 2111431

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