Kroger Limited Partnership I
May also be knows as Kroger Pharmacy Ce402
Legal Business Name
Kroger Limited Partnership I
Also Known As
Kroger Pharmacy Ce402
NPI Number
1881899524
NPI Type
Organization
Enumeration Date
06/20/2007
Specialties
(Taxonomies)Code
3336C0003X
332B00000X
Primary Taxonomy
No
No
Contact
Information
Purpose
Mailing
Location
Address
1014 VINE ST
496 W PLAZA DR
City
Cincinnati
Columbia City
State
OH
IN
Postal Code
45202-1141
46725-1019
Country
US
US
Telephone Number
(513) 762-4672
(260) 248-2895
Authorized Official
Name
Wendell Woolf
Title or Position
PHARMACY DIRECTOR
Telephone Number
(513) 762-4672
Identifiers
Identifier
1561655
Identifier State
Unknown
Identifier Issuer
NCPDP ID
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020