Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY CE402
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL MARK WOOLF RPH (PHARMACY DIRECTOR)
(513) 762-4672
Entity
Organization
Contact information
Practice address
496 W PLAZA DR, COLUMBIA CITY, IN 46725-1019
(260) 248-2895
(260) 248-2950
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
(513) 762-4672
(513) 762-1547
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1561655
NCPDP ID
—
Enumeration date
06/20/2007
Last updated
09/11/2025
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