Kroger Co

LBN: Kroger Co
Kroger Co is an health care organization with primary practice located at 2010 Country Club Rd , Lake Charles LA 70605-5206. 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 Co can be contacted via phone (337) 990-4902, or through Bredestege, Allison via phone (513) 762-1263.

Contact Information

Primary practice address
2010 Country Club Rd Lake Charles LA 70605-5206
Phone: (337) 990-4902
Fax: (337) 990-4904
Website:
Map and Directions
Authorized official contact:
Name: Bredestege, Allison
Phone: (513) 762-1263

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7474 Louisiana

Profile Details

NPI number 1932647179
LBN Legal business name Kroger Co
DBA Doing business as
Authorized official Bredestege, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2017
Last updated Mar 15th, 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 1932647179 NPPES
Other 2167707 PK

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