Kroger Pharmacy #440

LBN: The Kroger Co
Kroger Pharmacy #440 is an health care organization with primary practice located at 950 Herrington Rd , Lawrenceville GA 30044-7217. 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) 995-6210, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
950 Herrington Rd Lawrenceville GA 30044-7217
Phone: (770) 995-6210
Fax: (770) 962-3684
Website:
Map and Directions
Authorized official contact:
Name: Muennich, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7953 Georgia

Profile Details

NPI number 1558395392
LBN Legal business name The Kroger Co
DBA Doing business as Kroger Pharmacy #440
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
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 1558395392 NPPES
Georgia MEDICAID 00689807A
Georgia Other 2019253

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