Kroger Pharmacy #494

LBN: Kroger Limited Partnership I
Kroger Pharmacy #494 is an health care organization with primary practice located at 7045 Old Canton Rd , Ridgeland MS 39157-1036. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kroger Limited Partnership I can be contacted via phone (601) 856-0977, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
7045 Old Canton Rd Ridgeland MS 39157-1036
Fax: (601) 856-1492
Website:
Authorized official contact:
Name: Muennich, Allison

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 03594/01.2 Mississippi

Profile Details

NPI number 1417279738
LBN Legal business name Kroger Limited Partnership I
DBA Doing business as Kroger Pharmacy #494
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2010
Last updated May 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417279738 NPPES
Other 2123913 PK
MEDICAID 03654547 PK

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