Kroger Limited Partnership I
NPI #1245415868 in Madison, Mississippi
Provider Information
- NPI Number
- 1245415868
- Entity Type
- Organization
- Organization Name
- Kroger Limited Partnership I
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 2, 2008
- Last Updated
- Mar 13, 2020
Practice Location
- Address
- 115 COLONY CROSSING WAY
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-7697
- Phone
- (601) 605-5024
Authorized Official
- Name
- JESSIE WARMAN
- Title
- MANAGER OF PHARMACY LICENSING
- Phone
- (513) 762-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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