Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(515) 762-1090
Entity
Organization
Contact information
Practice address
7090 UNIVERSITY DR., HUNTSVILLE, AL 35806-1728
(256) 726-0610
(256) 726-0615
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
113450
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125673
—
AL
01
—
2127797
PK
—
Enumeration date
12/01/2010
Last updated
02/20/2023
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