Organization
KROGER LIMITED PARTNERSHIP I
Active
Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Tennessee Central Fill
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSIE CRAFT (PHARMACY LICENSING ASP)
(513) 246-3894
Entity
Organization
Contact information
Practice address
209 COPPER TOP LN NE, CLEVELAND, TN 37312-5862
(423) 458-6479
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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