Kroger Limited Partnership I in Dyersburg - Community/retail Pharmacy

Kroger Limited Partnership I - NPI 1215961941

Kroger Limited Partnership I is a Community/retail Pharmacy in Dyersburg, Tennessee. Kroger Limited Partnership I practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Kroger Limited Partnership I is 1215961941. The last update date is 2020-03-13.

Kroger Limited Partnership I's current location address is 2525 Nichols Ave, Dyersburg, Tennessee. You can contact this provider via phone number 7312856030 and fax number 7312856031. The mailing address for Kroger Limited Partnership I is 2525 Nichols Ave, Dyersburg, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kroger Limited Partnership I
Address 2525 Nichols Ave, Dyersburg, Tennessee
Phone Number 7312856030
Fax Number 7312856031
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER OF
Authorized Official Name Warman Jessie
Telephone Number 5137621090

NPI Number Detail

NPI Number 1215961941
Provider Enumeration Date 2006-07-10
Last Updated Date 2020-03-13

Provider Mailing Address Detail

Address 2525 Nichols Ave
City Dyersburg
State Tennessee (TN)
Post Code 380241657
Phone Number 7312856030
Fax Number 7312856031

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No C0476
Definition:
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 pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9448648 TN --
2089357 PK

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FAQs about Kroger Limited Partnership I

What is the unique 10-digit identification code assigned to Kroger Limited Partnership I by the Centers for Medicare & Medicaid Services?

The Kroger Limited Partnership I has been issued the NPI (National Provider Identifier) 1215961941, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kroger Limited Partnership I's facilities are geographically located?

The facilities of Kroger Limited Partnership I are physically situated at the following location: 2525 Nichols Ave, Dyersburg, TN, 380241657.

What is the Kroger Limited Partnership I's specialty and taxonomy code?

The Kroger Limited Partnership I's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215961941 to Kroger Limited Partnership I?

The Centers for Medicare & Medicaid Services assigned the 1215961941 to Kroger Limited Partnership I on 2006-07-10.

When was the information regarding Kroger Limited Partnership I most recently updated?

The details pertaining to the Kroger Limited Partnership I, including its address, specialty, and other relevant information, were last refreshed on 2020-03-13.

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