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Contact Information

KROGER LIMITED PARTNERSHIP I
775 PICKWICK ST
SAVANNAH, TN38372-3053
 Phone: 731-925-6200
 Fax: 731-925-1793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KROGER LIMITED PARTNERSHIP I

NPI # 1588712582
LBN Legal business name KROGER LIMITED PARTNERSHIP I
Authorized official ALLISON MUENNICH - (MANAGER OF PHARMACY LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 09/15/2016 - About 10 years ago
Identifiers
TN License # 3701
LA Medicaid 1287768
TN Medicaid 1454469
Other 2093201 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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