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Contact Information

THE KROGER CO
131 STATE ROUTE 3
SUNBURY, OH43074
 Phone: 740-965-0520
 Fax: 740-965-0522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for THE KROGER CO

NPI Number 1699928804
LBN Legal business name THE KROGER CO
Authorized official JESSIE WARMAN - (MANAGER OF PHARMACY LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2008
Last updated 02/06/2020 - About 6 years ago
Identifiers
OH License # 021912950
OH Medicaid 2877909
Other 2117748 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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