Kroger Pharmacy Ce402
LBN: Kroger Limited Partnership I
Kroger Pharmacy Ce402 is an health care organization with primary practice located at 496 W Plaza Dr , Columbia City IN 46725-1019. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Kroger Limited Partnership I can be contacted via phone (260) 248-2895, or through Woolf, Wendell Mark via phone (513) 762-4672.
Contact Information
Primary practice address
496 W Plaza Dr
Columbia City IN 46725-1019
Phone: (260) 248-2895
Fax: (260) 248-2950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1881899524 |
|---|---|
| LBN Legal business name | Kroger Limited Partnership I |
| DBA Doing business as | Kroger Pharmacy Ce402 |
| Authorized official | Woolf, Wendell Mark RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881899524 | NPPES |
| Other | 1561655 | NCPDP ID |
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