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Kroger Limited Partnership I

Pharmacy, Community/Retail Pharmacy in Owensboro, KY. Organization (NPI-2).

NPI number1790719516
StatusActive
Last updated in NPPESJun 28, 2019

Details

NPI
1790719516
Entity type
Organization (NPI-2)
Legal business name
Kroger Limited Partnership I
Organization subpart
No
Enumeration date
Jul 10, 2006
Last updated
Jun 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy6203KYYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Kroger Pharmacy (Doing Business As)

Practice location

1670 Starlite Dr
Owensboro, KY 42301-3339

Phone 270-926-2340 · Fax 270-926-3864

Mailing address

Po Box 842772
Boston, MA 02284-2772

Phone 513-762-1019 · Fax 513-762-1092

Authorized official

Jessie Warman
Manager Rx Licensing
5137621090

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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