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Contact Information

THE KROGER CO
8730 WATERVILLE SWANTON RD
WATERVILLE, OH43566
 Phone: 419-878-1040
 Fax: 419-878-1042
 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
Indicates primary specialty

NPI Profile & details for THE KROGER CO

NPI Number 1821306069
LBN Legal business name THE KROGER CO
Authorized official JESSICA WARMAN - (MANAGER RX LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2010
Last updated 02/05/2020 - About 6 years ago
Identifiers
OH License # 022073800
OH Medicaid 3095994
Other 2126605 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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