Kroger Pharmacy #629
LBN: The Kroger Co
Kroger Pharmacy #629 is an health care organization with primary practice located at 125 E Main St , Cartersville GA 30120-3317. 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.
The Kroger Co can be contacted via phone (770) 386-8160, or through Muennich, Allison via phone (513) 762-1019.
Contact Information
Primary practice address
125 E Main St
Cartersville GA 30120-3317
Phone: (770) 386-8160
Fax: (770) 387-0694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5672 | Georgia |
Profile Details
| NPI number | 1043244890 |
|---|---|
| LBN Legal business name | The Kroger Co |
| DBA Doing business as | Kroger Pharmacy #629 |
| Authorized official | Muennich, Allison |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Oct 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043244890 | NPPES |
| Other | 2014471 | PK | |
| MEDICAID | 00207193A | PK |
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