Organization · NPI-2

Kroger Limited Partnership I

Pharmacy, Community/Retail Pharmacy · Gallatin, TN

NPI number1073547709
StatusActive
Last updated in NPPESMay 16, 2016

Details

NPI
1073547709
Entity type
Organization (NPI-2)
Legal business name
Kroger Limited Partnership I
Organization subpart
No
Enumeration date
Jul 10, 2006
Last updated
May 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy2989TNYes
333600000X Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Kroger Pharmacy (Doing Business As)

Practice location

845 Nashville Pike
Gallatin, TN 37066-3103

Phone 615-230-9990 · Fax 615-451-5490

Mailing address

Po Box 842772
Boston, MA 02284-2772

Phone 513-762-1019 · Fax 513-762-1092

Authorized official

Allison Muennich
Manager Of Pharmacy Licensing
5137621019

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