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Organization

KROGER LIMITED PARTNERSHIP I

Active
Other names
Kroger Pharmacy #572
Organization subpart
No

Provider details

NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER RX LICENSING)
(513) 762-1090
Entity
Organization

Contact information

Practice address
309 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-5311
(757) 482-4368
(757) 482-2415
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
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2177165
PK
Enumeration date
04/02/2018
Last updated
06/02/2023
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