Kroger Pharmacy #425

LBN: Kroger Limited Partnership I
Kroger Pharmacy #425 is an health care organization with primary practice located at 6310 E State Blvd , Fort Wayne IN 46815-7023. 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 (260) 493-1531, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
6310 E State Blvd Fort Wayne IN 46815-7023
Phone: (260) 493-1531
Fax: (260) 493-0987
Website:
Map and Directions
Authorized official contact:
Name: Muennich, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60006093A Indiana

Profile Details

NPI number 1578768974
LBN Legal business name Kroger Limited Partnership I
DBA Doing business as Kroger Pharmacy #425
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
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 1578768974 NPPES
Other 2025688 PK
MEDICAID 200872360A PK

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