Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #582
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
10300 N RODNEY PARHAM RD, LITTLE ROCK, AR 72227-4845
(501) 221-8301
(501) 221-8303
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20622
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180651407
—
AR
01
—
2123654
PK
—
Enumeration date
02/05/2010
Last updated
06/27/2016
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