Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
SCOTTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MINEER CPHT (INTERFACE MANAGER)
(513) 387-7074
Entity
Organization
Contact information
Practice address
350 N GRANDSTAFF DR, AUBURN, IN 46706-1678
(260) 357-4107
(260) 290-2291
Mailing address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1977
(317) 579-8434
(317) 579-8424
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1561592
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/25/2007
Last updated
10/13/2009
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