Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #777
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
523 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(870) 762-2024
(870) 763-3240
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
AR00856
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154712
PK
—
Enumeration date
10/16/2015
Last updated
05/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us