Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #365
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
6745 BEULAH CHURCH RD, LOUISVILLE, KY 40228-2415
(502) 357-0895
(502) 812-1931
Mailing address
PO BOX 830242, PHILADELPHIA, PA 19183-0352
(513) 762-1090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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