Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #826
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(515) 762-1090
Entity
Organization
Contact information
Practice address
530 E STROOP RD, KETTERING, OH 45429-3225
(937) 449-0450
(937) 449-0451
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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