Kroger Limited Partnership I
NPI #1053516880 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1053516880
- Entity Type
- Organization
- Organization Name
- Kroger Limited Partnership I
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 20, 2007
- Last Updated
- Mar 3, 2011
Practice Location
- Address
- 5725 COVENTRY LN
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-7146
- Phone
- (260) 434-0497
Authorized Official
- Name
- KARLA LANGWORTHY, CPHT
- Title
- PHARMACY LICENSING MANAGER
- Phone
- (513) 698-1878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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