Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #800
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
401 MATTHEW ST, SUITE 100, MARIETTA, OH 45750-1635
(740) 434-0140
(740) 434-0142
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022663750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164119
PK
—
Enumeration date
09/13/2016
Last updated
04/20/2017
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