Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE PUCCINI (PHARMACY MERCHANDISER)
(513) 782-3384
Entity
Organization
Contact information
Practice address
900 N GETTYSBURG AVE, DAYTON, OH 45417-1564
(937) 268-0128
(937) 268-7364
Mailing address
150 TRI COUNTY PKWY, CINCINNATI, OH 45246-3217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
OH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671938
—
OH
01
—
3648738
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/10/2006
Last updated
02/14/2008
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