Organization
KROGER LIMITED PARTNERSHIP I
Active
Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
3507 W CARY ST, RICHMOND, VA 23221-2728
(804) 254-6400
(804) 254-6402
Mailing address
PO BOX 830242, PHILADELPHIA, PA 19182-0352
(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
0201004389
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193770717
—
VA
01
—
2128773
PK
—
Enumeration date
02/09/2011
Last updated
01/06/2026
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