Kroger Co
Pharmacy, Community/Retail Pharmacy in Lake Charles, Louisiana
1932647179- Practice location
- 2010 Country Club RD, Lake Charles, LA 70605-5206
- Phone
- 337-990-4902
- Fax
- 337-990-4904
- Last updated
- March 15, 2018
Kroger Co is a healthcare organization based in Lake Charles, LA. Kroger Co practices in Lake Charles, LA. The NPI Number for Kroger Co is 1932647179 and holds a License No. 7474 (LA). The current practice location address for Kroger Co is 2010 Country Club RD, Lake Charles, LA 70605-5206 and can be reached out via phone at 337-990-4902 and via fax at 337-990-4904.
Provider Profile Details
- NPI Number
- 1932647179
- Provider Name
- Kroger Co
- Provider Entity Type
- Organization
- Address
- 2010 Country Club RD, Lake Charles, LA 70605-5206
- Phone Number
- 337-990-4902
- Fax Number
- 337-990-4904
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Allison Bredestege · Manager Of Pharmacy Licensing · 513-762-1263
- Provider Enumeration Date
- February 8, 2017
- Last Update Date
- March 15, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2010 Country Club RD
Lake Charles, LA 70605-5206 - City
- Lake Charles
- State
- Louisiana
- Zip
- 70605-5206
- Phone Number
- 337-990-4902
- Fax Number
- 337-990-4904
Provider Business Mailing Address Details
- Address
- Po Box 842772
Boston, MA 02284-2772 - City
- Boston
- State
- MA
- Zip
- 02284-2772
- Phone Number
- 513-762-1019
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- 7474
- License State (3)
- LA
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kroger Co?
The NPI number of Kroger Co is 1932647179. It was assigned on February 8, 2017 and is currently active in the NPPES registry.
What is the specialty of Kroger Co?
Kroger Co is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in LA under license number 7474.
Where does Kroger Co practice?
The practice location is 2010 Country Club RD, Lake Charles, LA 70605-5206. The office can be reached at 337-990-4902 (phone) or 337-990-4904 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932647179 directly on the NPPES registry website.