Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
799 TRUSE PKWY, MEMPHIS, TN 38117-5354
(901) 683-2974
(901) 685-2850
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
0000003468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131579
PK
—
Enumeration date
08/29/2011
Last updated
08/02/2016
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