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
880 W EADS PKWY, LAWRENCEBURG, IN 47025-1169
(812) 532-7360
(812) 537-0225
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60005146B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294820A
—
IN
01
—
2026437
PK
—
Enumeration date
07/10/2006
Last updated
04/21/2025
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