Organization
KROGER LIMITED PARTNERSHIP I
Active
Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #543
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER RX LICENISNG)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1050 W MERCURY BLVD, HAMPTON, VA 23666-3307
(757) 251-0481
(757) 325-9003
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177166
PK
—
Enumeration date
03/30/2018
Last updated
06/02/2023
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