Kroger Pharmacy #574
LBN: Kroger Texas Lp
Kroger Pharmacy #574 is an health care organization with primary practice located at 1950 N Goliad St , Rockwall TX 75087-7206. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kroger Texas Lp can be contacted via phone (469) 651-6027, or through Muennich, Allison via phone (513) 762-1263.
Contact Information
Primary practice address
1950 N Goliad St
Rockwall TX 75087-7206
Phone: (469) 651-6027
Fax: (469) 651-6030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 30989 | Texas |
Profile Details
| NPI number | 1043660319 |
|---|---|
| LBN Legal business name | Kroger Texas Lp |
| DBA Doing business as | Kroger Pharmacy #574 |
| Authorized official | Muennich, Allison |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2016 |
| Last updated | Jul 19th, 2018 - about 7 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 | 1043660319 | NPPES |
| Texas | MEDICAID | 471002 | |
| Texas | Other | 2160671 |
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