Kroger Limited Partnership I
NPI #1407042120 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1407042120
- Entity Type
- Organization
- Organization Name
- Kroger Limited Partnership I
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 17, 2007
- Last Updated
- May 18, 2016
Practice Location
- Address
- 633 ARMOUR RD
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-2077
- Phone
- (815) 935-1653
Authorized Official
- Name
- ALLISON MUENNICH
- Title
- MANAGER OF PHARMACY LICENSING
- Phone
- (513) 762-1019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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