Kroger Limited Partnership I

NPI #1417020033 in Peoria, Illinois

Provider Information

NPI Number
1417020033
Entity Type
Organization
Organization Name
Kroger Limited Partnership I
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 15, 2006
Last Updated
May 18, 2016

Practice Location

Address
9219 N LINDBERGH DR
City
Peoria
ZIP Code
61615-1425
Phone
(309) 692-0473

Authorized Official

Name
ALLISON MUENNICH
Title
MANAGER OF PHARMACY LICENSING
Phone
(513) 762-1019

Specialties & Taxonomy Codes

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

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