Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY #710
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
3060 N NATIONAL RD, COLUMBUS, IN 47201-3236
(812) 376-9566
(812) 378-8628
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(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
60005161
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100293860A
—
IN
01
—
2025299
PK
—
Enumeration date
11/15/2006
Last updated
11/08/2016
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