Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WARD (PHARMACY MERCHANDISER)
(540) 563-3593
Entity
Organization
Contact information
Practice address
143 CROWN DR, DANVILLE, VA 24540-5933
(434) 792-6039
(434) 792-5596
Mailing address
143 CROWN DR, DANVILLE, VA 24540-5933
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201003390
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4830508
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/10/2006
Last updated
09/11/2025
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