Kroger Limited Partnership I

NPI #1598799306 in Herrin, Illinois

Provider Information

NPI Number
1598799306
Entity Type
Organization
Organization Name
Kroger Limited Partnership I
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 10, 2006
Last Updated
May 18, 2016

Practice Location

Address
1609 S PARK AVE
City
Herrin
ZIP Code
62948-4162
Phone
(618) 988-1649

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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Provider Name
Southern Illinois Healthcare

Part of Herrin Hospital Pharmacy

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