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General NPI Number Information
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NPI Number | 1134425143
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Entity Type | Organization
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Legal Business Name | KROGER LIMITED PARTNERSHIP I
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3507 W CARY ST
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City | RICHMOND
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State | VA
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Zip | 23221-2728
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Country | US
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Telephone | 804-254-6400
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Fax | 804-254-6402
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Provider Business Mailing Address
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Address Line | PO BOX 830242
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0352
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Country | US
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Telephone | 513-762-1019
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Fax | 513-762-1092
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Authorized Official
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Title or Position | MANAGER OF PHARMACY LICENSING
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Name | LYSETTE SEILHAMER
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Credential |
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Telephone | 513-762-1019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201004389
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License Number State | VA
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