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Contact Information

KROGER LIMITED PARTNERSHIP I
180 RED OAKS SC
RONCEVERTE, WV24970
 Phone: 304-645-0310
 Fax: 304-645-0312
 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 KROGER LIMITED PARTNERSHIP I

NPI # 1972764355
LBN Legal business name KROGER LIMITED PARTNERSHIP I
Authorized official ALLISON MUENNICH - (MANAGER OF PHARMACY LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2008
Last updated 04/20/2018 - About 8 years ago
Identifiers
WV License # MP0552364
WV Medicaid 3810012364
Other 2111740 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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