Kroger Drugstore #477
LBN: The Kroger Co
Kroger Drugstore #477 is an health care organization with primary practice located at 2121 Lawrenceville Suwanee Rd , Suwanee GA 30024-2657. 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) 962-1352, or through Warman, Jessie via phone (513) 762-1090.
Contact Information
Primary practice address
2121 Lawrenceville Suwanee Rd
Suwanee GA 30024-2657
Phone: (770) 962-1352
Fax: (770) 962-3709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8425 | Georgia |
Profile Details
| NPI number | 1558395368 |
|---|---|
| LBN Legal business name | The Kroger Co |
| DBA Doing business as | Kroger Drugstore #477 |
| Authorized official | Warman, Jessie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Aug 27th, 2019 - about 5 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 | 1558395368 | NPPES |
| Other | 2020430 | PK | |
| MEDICAID | 00869503A | PK |
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