Medicare Supplier KROGER LIMITED PARTNERSHIP I Details

Globally Unique Supplier Identifier: 20597567

medicare equipment supplier status:  active since 2003-08-27

Supplier: KROGER LIMITED PARTNERSHIP I

Reference Information. Full Replica of the CMS (NPPES) Record

Field Name Field Value
Supplier ID 20597567
Globally Unique Supplier Identifier
Company Name KROGER LIMITED PARTNERSHIP I
Supplier Company Name
Doing Business As (DBA) KROGER PHARMACY 475
Alternative Company Name or Doing Business As (DBA)
Participation Begin Date 2003-08-27
Participation Begin Date
Address Line 2380 MOUNT PLEASANT RD
Delivery Address Line
City HERNANDO
Business Address City
State MS
Business Address State
Zip 38632-1909
Business Address Zip
Phone Number 662-429-5327
Business Phone Number
Specialities List
  • Grocery Store
  • Pharmacy
Specialities List
Product Category Name(s)
  • Blood Glucose Monitors/Supplies (Non-Mail Order)
  • Canes and/or Crutches
  • Commodes, Urinals, Bedpans
  • Enteral Equipment and/or Supplies
  • Enteral Nutrients
  • Immunosuppressive Drugs
  • Nebulizer Drugs
  • Nebulizer Equipment and/or Supplies
  • Oral Anticancer Drugs
  • Oral Antiemetic Drugs
  • Ostomy Supplies
  • Surgical Dressings
  • Urological Supplies
  • Walkers
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
Latitude 34.82549
Business Practice Latitude
Longitude -89.98507
Business Practice Longitude
Is Contracted For CBA False
Is Contracted For CBA

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