Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Ronceverte, WV. Organization (NPI-2).
NPI number1972764355
StatusActive
Last updated in NPPESApr 20, 2018
Details
- NPI
- 1972764355
- Entity type
- Organization (NPI-2)
- Legal business name
- Kroger Limited Partnership I
- Organization subpart
- No
- Enumeration date
- Jun 19, 2008
- Last updated
- Apr 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | MP0552364 | WV | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
180 Red Oaks ScRonceverte, WV 24970
Phone 304-645-0310 · Fax 304-645-0312
Mailing address
P.O. Box 842772Boston, MA 02284
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
5137621019
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