Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (PHARMACY LICENSING MANAGER)
(513) 698-1878
Entity
Organization
Contact information
Practice address
567 S LOWRY ST, SMYRNA, TN 37167-3803
(615) 459-7722
(615) 459-3831
Mailing address
1600 ORMSBY STATION CT, LOUISVILLE, KY 40223-4039
(502) 423-4113
(502) 423-4176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4426993
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/10/2006
Last updated
07/26/2010
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