Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
4500 MONTGOMERY RD, NORWOOD, OH 45212-3118
(513) 841-6620
(513) 841-6655
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
021967050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0638573
—
OH
01
—
2079878
PK
—
Enumeration date
07/10/2006
Last updated
02/04/2020
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