Kroger Limited Partnership I, NPI 1497789275
Community/Retail Pharmacy in Princeton, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1497789275
NPI Entity Type Organization
Provider Name Kroger Limited Partnership I
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1213 Stafford Dr, Princeton, WV, US
Provider Mailing Address Po Box 842772, Boston, MA, US, 022842772
Is Sole Proprietor? No
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Organization Official

Official Name Allison Muennich
Official Position MANAGER OF PHARMACY LICENSING
Phone 513-762-1019

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 550931
License State WV
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

KROGER PHARMACY
Doing Business As

Business Address

Kroger Limited Partnership I
1213 Stafford Dr

Princeton, WV, US

Phone: 304-487-1155
Fax: 304-487-1991

Mailing Address

Kroger Limited Partnership I
Po Box 842772
Boston, MA, US
ZIP 022842772
Phone: 513-762-1019
Fax: 513-762-1092

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2110001 PK 01
0013178029 WV MEDICAID 05

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NPI Name Taxonomy Address

1255056628

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Mary Mccullough

Individual

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