Kroger Limited Partnership I
NPI #1376577155 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1376577155
- 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
- 2770 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-2345
- Phone
- (573) 686-6974
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 Pharmacy — Community/Retail Pharmacy |
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