Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY #418
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
310 W NORTH ST, KENDALLVILLE, IN 46755-1004
(260) 347-9177
(260) 347-9125
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006490A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201328840A
—
IN
01
—
2151268
PK
—
Enumeration date
04/08/2015
Last updated
04/22/2025
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