Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #414
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NICOLE WILLIAMS (PHARMACY LICENSING MANAGER)
(513) 762-1090
Entity
Organization
Contact information
Practice address
1555 S HARRISON PLZ, BLUFFTON, IN 46714-9400
(260) 919-4971
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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