Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #567
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
2201 21ST AVE S, NASHVILLE, TN 37212-4906
(615) 269-6641
(615) 349-8590
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4080
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094606
PK
—
Enumeration date
09/07/2006
Last updated
05/06/2025
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