# KROGER LIMITED PARTNERSHIP I

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

## Provider details

- **NPI number:** 1346274149
- **Authorized official:** JESSIE WARMAN (MANAGER PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1090

## Contact information

- **Practice address:** 7747 OLD TROY PIKE, HUBER HEIGHTS, OH 45424-2085
- **Practice address phone:** (937) 233-7680
- **Practice address fax:** (937) 233-2221
- **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 | 021043250 | OH | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0649123 | — | OH |
| 01 | — | 2076733 | PK | — |