Kroger Limited Partnership I
NPI #1093749871 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1093749871
- Entity Type
- Organization
- Organization Name
- Kroger Limited Partnership I
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jun 24, 2009
Practice Location
- Address
- 3405 PEMBERTON SQUARE BLVD
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5574
- Phone
- (601) 638-3412
Authorized Official
- Name
- MATT MINEER
- Title
- INTERFACE MANAGER
- Phone
- (513) 387-7074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
Similar Providers
| Provider Name | |
|---|---|
| Kroger Limited Partnership I |  AI Deep Dive |
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