Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (PHARMACY LICENSING MANAGER)
(513) 698-1878
Entity
Organization
Contact information
Practice address
2435 HARRISON AVE, CINCINNATI, OH 45211-7915
(513) 661-4412
(513) 481-9224
Mailing address
150 TRI COUNTY PKWY, CINCINNATI, OH 45246-3217
(513) 782-3384
(513) 782-8760
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021042950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0660502
—
OH
01
—
3646190
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/10/2006
Last updated
07/26/2010
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