Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #784
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
704 EUCLID AVE, LEXINGTON, KY 40502-1740
(859) 687-3270
(859) 687-3271
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
P07664
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148974
PK
—
05
—
7100333890
—
KY
Enumeration date
11/21/2014
Last updated
09/19/2025
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