Kroger Limited Partnership I
NPI #1043244833 in Logan, West Virginia
Provider Information
- NPI Number
- 1043244833
- Entity Type
- Organization
- Organization Name
- Kroger Limited Partnership I
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 10, 2006
- Last Updated
- May 13, 2022
Practice Location
- Address
- 25 HOLDEN RD
- City
- Logan
- State
- West Virginia
- ZIP Code
- 25601-4010
- Phone
- (304) 239-2380
Authorized Official
- Name
- LYSETTE SEILHAMER
- Title
- MANAGER OF LICENSING
- Phone
- (515) 762-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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