# KROGER LIMITED PARTNERSHIP I

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

## Provider details

- **NPI number:** 1447323068
- **Authorized official:** KARLA LANGWORTHY (PHARMACY LICENSING MANAGER)
- **Authorized official phone:** (513) 698-1878

## Contact information

- **Practice address:** 4860 HONONEGAH RD, ROSCOE, IL 61073-7777
- **Practice address phone:** (815) 623-7798
- **Practice address fax:** (815) 623-9479
- **Mailing address:** 5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1977
- **Mailing address phone:** (317) 579-8434
- **Mailing address fax:** (317) 579-8424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054014012 | IL | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 07/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1465473 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |