Kroger Limited Partnership I

NPI #1447323068 in Roscoe, Illinois

Provider Information

NPI Number
1447323068
Entity Type
Organization
Organization Name
Kroger Limited Partnership I
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 15, 2006
Last Updated
Jul 27, 2010

Practice Location

Address
4860 HONONEGAH RD
City
Roscoe
ZIP Code
61073-7777
Phone
(815) 623-7798

Authorized Official

Name
KARLA LANGWORTHY
Title
PHARMACY LICENSING MANAGER
Phone
(513) 698-1878

Specialties & Taxonomy Codes

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

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