Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
SCOTTS PHARMACY J 410
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
7008 BLUFFTON RD, FORT WAYNE, IN 46809-2706
(260) 747-4136
(260) 747-4137
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006092A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200872400A
—
IN
01
—
2025693
PK
—
Enumeration date
06/18/2007
Last updated
05/16/2016
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