# KROGER LIMITED PARTNERSHIP I

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KROGER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114951902
- **Authorized official:** JESSIE WARMAN (MANAGER PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1090

## Contact information

- **Practice address:** 560 WESSEL DR, FAIRFIELD, OH 45014-3776
- **Practice address phone:** (513) 829-2005
- **Practice address fax:** (513) 829-7458
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772
- **Mailing address phone:** (513) 762-1019
- **Mailing address fax:** (513) 762-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 021044050 | OH | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 02/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0368954 | — | OH |
| 01 | — | 2075517 | PK | — |