Kroger Limited Partnership I
NPI #1790719425 in Pigeon Forge, Tennessee
Provider Information
- NPI Number
- 1790719425
- Entity Type
- Organization
- Organization Name
- Kroger Limited Partnership I
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 220 WEARS VALLEY RD
- City
- Pigeon Forge
- State
- Tennessee
- ZIP Code
- 37863-4215
- Phone
- (865) 428-0629
Authorized Official
- Name
- LYSETTE SEILHAMER
- Title
- PHARMACY LICENSING MANAGER
- Phone
- (515) 762-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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