Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy L-794
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(515) 762-1090
Entity
Organization
Contact information
Practice address
2835 S HIGHWAY 393, LA GRANGE, KY 40031-9613
(502) 530-4808
(502) 530-5828
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
05/21/2024
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