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Contact Information

KROGER LIMITED PARTNERSHIP I
6306 COUNTY ROAD 107
PROCTORVILLE, OH45669
 Phone: 740-886-5579
 Fax:
 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
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KROGER LIMITED PARTNERSHIP I

NPI # 1619901410
LBN Legal business name KROGER LIMITED PARTNERSHIP I
Authorized official JESSIE WARMAN - (MANAGER RX LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2006
Last updated 07/29/2019 - About 7 years ago
Identifiers
OH License # 021040600
OH Medicaid 0620662
WV Medicaid 0013178039
Other 2076677 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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