Kroger Pharmacy #619

LBN: Kroger Co
Kroger Pharmacy #619 is an health care organization with primary practice located at 1524 Georgia Highway 16 W , Griffin GA 30223-2046. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kroger Co can be contacted via phone (770) 229-7430, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
1524 Georgia Highway 16 W Griffin GA 30223-2046
Phone: (770) 229-7430
Fax:
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 / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629321823
LBN Legal business name Kroger Co
DBA Doing business as Kroger Pharmacy #619
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2012
Last updated Jul 19th, 2018 - 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 1629321823 NPPES
Other 2137594 PK
MEDICAID 003129888A PK

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