The Kroger Co in Lake City - Community/retail Pharmacy

The Kroger Co - NPI 1093749988

The Kroger Co is a Community/retail Pharmacy in Lake City, Georgia. The Kroger Co practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for The Kroger Co is 1093749988. The last update date is 2016-05-16.

The Kroger Co's current location address is 5664 Jonesboro Rd, Lake City, Georgia. You can contact this provider via phone number 7709600162 and fax number 7709602889. The mailing address for The Kroger Co is 5664 Jonesboro Rd, Lake City, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Kroger Co
Address 5664 Jonesboro Rd, Lake City, Georgia
Phone Number 7709600162
Fax Number 7709602889
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER OF
Authorized Official Name Muennich Allison
Telephone Number 5137621019

NPI Number Detail

NPI Number 1093749988
Provider Enumeration Date 2006-07-10
Last Updated Date 2016-05-16

Provider Mailing Address Detail

Address 5664 Jonesboro Rd
City Lake City
State Georgia (GA)
Post Code 302603808
Phone Number 7709600162
Fax Number 7709602889

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 8235
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 pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00792206A GA --
2020014 PK

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FAQs about The Kroger Co

What is the The Kroger Co's 1093749988?

The The Kroger Co's NPI (National Provider Identifier) Number is 1093749988. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of The Kroger Co?

The The Kroger Co is physically situated at 5664 Jonesboro Rd, in the city of Lake City, state of GA, with the postal code 302603808.

What is The Kroger Co's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for The Kroger Co is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.

On what date did the The Kroger Co receive the assignment of its 1093749988 from the Centers for Medicare & Medicaid Services?

The The Kroger Co was issued its 1093749988 by the Centers for Medicare & Medicaid Services on 2006-07-10.

As of what date were the The Kroger Co's details last updated?

The information pertaining to the The Kroger Co, including its address, specialty, and other details, was most recently updated on 2016-05-16.

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