Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #330
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
1825 N KINSER PIKE, BLOOMINGTON, IN 47404-1914
(812) 335-6770
(812) 335-6769
Mailing address
P.O. BOX 842772, BOSTON, MA 02284
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006646A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173564
PK
—
05
—
300011649
—
IN
Enumeration date
11/15/2017
Last updated
09/19/2025
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