THE KROGER CO
Medical Equipment Supplier Yellow Pages
Shreveport, Louisiana
Provider NPI: 1164595682
Organization Information:Organization Name: THE KROGER CO
Practice Location:
9155 MANSFIELD RD SHREVEPORT, LA 71118 US
Tel: 318-688-2582 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
9155 MANSFIELD RD SHREVEPORT, LA 71118 US
Tel: 318-688-2582 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | LA | 3966RC |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1233731 | LA | 05 | |
PK | 2031173 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin