Kroger Pharmacy #580

LBN: Kroger Texas L P
Kroger Pharmacy #580 is an health care organization with primary practice located at 2671 Little Elm Pkwy , Little Elm TX 75068-6677. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kroger Texas L P can be contacted via phone (469) 888-5519, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
2671 Little Elm Pkwy Little Elm TX 75068-6677
Fax: (469) 888-5521
Website:
Authorized official contact:
Name: Muennich, Allison

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 27475 Texas

Profile Details

NPI number 1245523232
LBN Legal business name Kroger Texas L P
DBA Doing business as Kroger Pharmacy #580
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2011
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 1245523232 NPPES
Texas MEDICAID 466754
Texas Other 2130478

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