Organization
KROGER LIMITED PARTNERSHIP I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
5961 N SR 135, GREENWOOD, IN 46143
(317) 530-3087
(317) 530-3088
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006584A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201397860 A
—
IN
01
—
2165795
PK
—
Enumeration date
10/17/2016
Last updated
04/20/2018
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