Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy#21-804
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
5810 E 71ST ST, INDIANAPOLIS, IN 46220-4002
(317) 813-1903
(317) 813-1904
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60006187A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200953090A
—
IN
01
—
2118298
PK
—
Enumeration date
12/23/2008
Last updated
05/16/2016
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