Kroger Limited Partnership I

NPI #1104850981 in Horn Lake, Mississippi

Provider Information

NPI Number
1104850981
Entity Type
Organization
Organization Name
Kroger Limited Partnership I
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 10, 2006
Last Updated
Mar 13, 2020

Practice Location

Address
7251 INTERSTATE DR
ZIP Code
38637-1410
Phone
(662) 349-8336

Authorized Official

Name
JESSIE WARMAN
Title
MANAGER OF PHARMACY LICENSING
Phone
(513) 762-1090

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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