Kroger Pharmacy #594

LBN: Kroger Texas L P
Kroger Pharmacy #594 is an health care organization with primary practice located at 3300 E Broad St , Mansfield TX 76063-5629. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kroger Texas L P can be contacted via phone (817) 435-5418, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
3300 E Broad St Mansfield TX 76063-5629
Phone: (817) 435-5418
Fax: (817) 435-5420
Website:
Map and Directions
Authorized official contact:
Name: Muennich, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 27500 Texas

Profile Details

NPI number 1780977785
LBN Legal business name Kroger Texas L P
DBA Doing business as Kroger Pharmacy #594
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2011
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 1780977785 NPPES
Texas MEDICAID 466751
Texas Other 2130481

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