Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #565
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
4432 VETERANS PKWY, MURFREESBORO, TN 37128-3977
(615) 648-8501
(615) 648-8507
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
5845
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160809
PK
—
Enumeration date
06/22/2016
Last updated
11/03/2016
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