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Contact Information

THE KROGER CO
19471 LAKE DR
TRIMBLE, OH45782
 Phone: 740-767-3851
 Fax: 740-767-3971
 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 THE KROGER CO

NPI # 1730268228
LBN Legal business name THE KROGER CO
Authorized official JESSIE WARMAN - (MANAGER PHARMACY LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2006
Last updated 02/06/2020 - About 6 years ago
Identifiers
OH License # 021382250
OH Medicaid 2402457
Other 2078984 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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