Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1008 WASHINGTON BLVD, BELPRE, OH 45714-2390
(740) 423-7271
(740) 423-8301
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021040650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013178020
—
WV
05
—
2018444
—
OH
01
—
2074821
PK
—
Enumeration date
07/10/2006
Last updated
08/10/2016
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