Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #423
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
130 PAVILION PKWY, NEWPORT, KY 41071-2998
(859) 292-5680
(859) 292-5681
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
PO7355
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068880
—
OH
01
—
2122877
PK
—
05
—
7100113090
—
KY
Enumeration date
12/11/2009
Last updated
02/04/2020
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