Kroger Pharmacy #589

LBN: Kroger Texas Lp
Kroger Pharmacy #589 is an health care organization with primary practice located at 4650 W University Dr , Prosper TX 75078-9091. 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 Texas Lp can be contacted via phone (972) 346-5244, or through Bredestege, Allison via phone (513) 762-1263.

Contact Information

Primary practice address
4650 W University Dr Prosper TX 75078-9091
Fax: (713) 422-8031
Website:
Authorized official contact:
Name: Bredestege, Allison

Health care specialties

Profile Details

NPI number 1770023798
LBN Legal business name Kroger Texas Lp
DBA Doing business as Kroger Pharmacy #589
Authorized official Bredestege, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2017
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 1770023798 NPPES
Other 2168746 PK

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