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The Kroger Co
Community/Retail Pharmacy in Shreveport, Louisiana
NPI 1548611288

The Kroger Co is a Community/Retail Pharmacy based in Boston, LA and is specialized in Community/Retail Pharmacy. The Kroger Co practices in Shreveport, LA. The NPI Number for The Kroger Co is 1548611288 and holds a License No. (Louisiana).

The current practice location address for The Kroger Co is 9484 Ellerbe Rd Ste 100, Shreveport, LA and can be reached out via phone at 318-517-6973 and via fax at 318-517-6976.

Location: 9484 Ellerbe Rd Ste 100, Shreveport, LA, 02284-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548611288
Provider Name
The Kroger Co
Credential
Provider Entity Type
Organization
Address
9484 Ellerbe Rd Ste 100, Shreveport, LA, 02284-2772
Phone Number
318-517-6973
Fax Number
318-517-6976
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2204840 05 LA
2160807 01 PK
institution
Provider Business Practice Location Address Details
Address
9484 Ellerbe Rd Ste 100
City
Shreveport
State
Louisiana
Zip
71106
Phone Number
318-517-6973
Fax Number
318-517-6976
person
Provider Business Mailing Address Details
Address
9484 Ellerbe Rd Ste 100
City
Shreveport
State
Louisiana
Zip
71106
Phone Number
318-517-6973
Fax Number
318-517-6976
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PHY.007389-RC (Louisiana)
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's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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