Kroger Limited Partnership I
NPI #1639103401 in Clinton, Mississippi
Provider Information
- NPI Number
- 1639103401
- Entity Type
- Organization
- Organization Name
- Kroger Limited Partnership I
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jun 24, 2009
Practice Location
- Address
- 406 SPRINGRIDGE RD
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-4804
- Phone
- (601) 924-7422
Authorized Official
- Name
- MATT MINEER
- Title
- INTERFACE MANAGER
- Phone
- (513) 387-7074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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