Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (PHARMACY LICENSING MANAGER)
(513) 698-1878
Entity
Organization
Contact information
Practice address
3631 PETERS CREEK RD NW, ROANOKE, VA 24019-2809
(540) 563-3593
(513) 563-1463
Mailing address
1014 VINE ST, 3RD FLOOR, CINCINNATI, OH 45202-1141
(513) 698-1878
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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