Kroger Limited Partnership I
NPI #1164447868 in Jackson, Mississippi
Provider Information
- NPI Number
- 1164447868
- Entity Type
- Organization
- Organization Name
- Kroger Limited Partnership I
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Apr 7, 2014
Practice Location
- Address
- 3520 TERRY RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39212-4943
- Phone
- (601) 371-5067
Authorized Official
- Name
- KARLA LANGWORTHY
- Title
- MANAGER OF PHARMACY CREDENTIALING
- Phone
- (513) 698-1878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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