Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
PAY LESS PHARMACY J 843
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
2200 GREENBUSH ST, LAFAYETTE, IN 47904-2342
(765) 448-9159
(765) 448-9184
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
60006044A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200849330A
—
IN
01
—
2025485
PK
—
Enumeration date
12/29/2006
Last updated
05/16/2016
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