Organization

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

Provider Address