Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #542
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1301 FREDERICK BLVD, PORTSMOUTH, VA 23707-4123
(757) 337-5341
(757) 337-5343
Mailing address
P.O. BOX 842772, BOSTON, MA 02284
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004598
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093124505
—
VA
01
—
2147288
PK
—
Enumeration date
08/08/2014
Last updated
09/19/2025
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