Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy L-747
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(513) 587-5328
Entity
Organization
Contact information
Practice address
1479 PATRIOT PKWY, ELIZABETHTOWN, KY 42701-8265
(270) 600-2915
(270) 304-2145
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
04/21/2026
Last updated
04/21/2026
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