Organization Name: | KROGER LIMITED PARTNERSHIP I |
NPI Number: | 1881899524 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDELL MARK WOOLF (PHARMACY DIRECTOR) |
Mailing Address: | 496 W Plaza Dr Columbia City |
State: | IN US |
Postal Code: | 467251019 |
Phone Number: | 2602482895 |
Fax Number: | 2602482950 |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |