Kroger Pharmacy
LBN: Kroger Limited Partnership I
Kroger Pharmacy is an health care organization with primary practice located at 900 N Gettysburg Ave , Dayton OH 45417-1564. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Kroger Limited Partnership I can be contacted via phone (937) 268-0128, or through Puccini, Mike via phone (513) 782-3384.
Contact Information
Primary practice address
900 N Gettysburg Ave
Dayton OH 45417-1564
Phone: (937) 268-0128
Fax: (937) 268-7364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Pharmacy | 333600000X | Ohio |
Profile Details
| NPI number | 1326072125 |
|---|---|
| LBN Legal business name | Kroger Limited Partnership I |
| DBA Doing business as | Kroger Pharmacy |
| Authorized official | Puccini, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Feb 14th, 2008 - about 18 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 | 1326072125 | NPPES |
| Other | 3648738 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 0671938 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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