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NPI Code Detail

MEDICARE: KROGER LIMITED PARTNERSHIP I

MEDICARE: KROGER LIMITED PARTNERSHIP I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy0201004389VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12128773OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134425143
Entity Type Code : Organization
Provider Name (Legal Business Name) : KROGER LIMITED PARTNERSHIP I
Provider Business Mailing Address
First Line : PO BOX 830242
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19182-0352
Country : US
Telephone Number : 513-762-1019
Fax Number : 513-762-1092
Provider Business Practice Location Address
First Line : 3507 W CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2728
Country : US
Telephone Number : 804-254-6400
Fax Number : 804-254-6402
Authorized Official
Title or Position : MANAGER OF PHARMACY LICENSING
Name : LYSETTE SEILHAMER
Credential :
Telephone Number : 513-762-1019
Provider Enumeration Date : 02/09/2011
Last Update Date : 01/06/2026

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Directions to “KROGER LIMITED PARTNERSHIP I ” Practice Location

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