# KROGER LIMITED PARTNERSHIP I

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** KROGER PHARMACY J-984
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407042120
- **Authorized official:** ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1019

## Contact information

- **Practice address:** 633 ARMOUR RD, BOURBONNAIS, IL 60914-2077
- **Practice address phone:** (815) 935-1653
- **Practice address fax:** (815) 935-1654
- **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 |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054007056 | IL | Yes |

## Other

- **Enumeration date:** 09/17/2007
- **Last updated:** 05/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2023611 | PK | — |