Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH STONE (PHARMACY LICENSING MANAGER)
(513) 762-1019
Entity
Organization
Contact information
Practice address
704 E EUCLID AVE, LEXINGTON, KY 40502-1740
(859) 266-3331
(859) 266-8868
Mailing address
1600 ORMSBY STATION CT, LOUISVILLE, KY 40223-4039
(502) 423-4113
(502) 423-4176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1775
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030537
PK
—
05
—
54019344
—
KY
Enumeration date
07/10/2006
Last updated
02/05/2014
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