# KROGER LIMITED PARTNERSHIP I

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kroger Pharmacy \#606
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033899950
- **Authorized official:** LYSETTE SEILHAMER (MANAGER OF LICENSING)
- **Authorized official phone:** (515) 762-1090

## Contact information

- **Practice address:** 8855 HIGHWAY 72 N, MADISON, AL 35758-9588
- **Practice address phone:** (256) 870-4360
- **Practice address fax:** (256) 774-9208
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772
- **Mailing address phone:** (513) 762-1090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2023
- **Last updated:** 08/25/2023