Kroger Pharmacy J-984

LBN: Kroger Limited Partnership I
Kroger Pharmacy J-984 is an health care organization with primary practice located at 633 Armour Rd , Bourbonnais IL 60914-2077. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kroger Limited Partnership I can be contacted via phone (815) 935-1653, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
633 Armour Rd Bourbonnais IL 60914-2077
Phone: (815) 935-1653
Fax: (815) 935-1654
Website:
Map and Directions
Authorized official contact:
Name: Muennich, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054007056 Illinois

Profile Details

NPI number 1407042120
LBN Legal business name Kroger Limited Partnership I
DBA Doing business as Kroger Pharmacy J-984
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2007
Last updated May 18th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407042120 NPPES
Other 2023611 PK

Popular Providers