Kroger Limited Partnership I in Southaven - Community/retail Pharmacy
Kroger Limited Partnership I - NPI 1275567042
Kroger Limited Partnership I is a Community/retail Pharmacy in Southaven, Mississippi. 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 1275567042. The last update date is 2020-03-13.
Kroger Limited Partnership I's current location address is 465 Stateline Rd W, Southaven, Mississippi. You can contact this provider via phone number 6623933426 and fax number 6623931605. The mailing address for Kroger Limited Partnership I is 465 Stateline Rd W, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kroger Limited Partnership I |
|---|---|
| Address | 465 Stateline Rd W, Southaven, Mississippi |
| Phone Number | 6623933426 |
| Fax Number | 6623931605 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER OF |
|---|---|
| Authorized Official Name | Warman Jessie |
| Telephone Number | 5137621090 |
NPI Number Detail
| NPI Number | 1275567042 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2020-03-13 |
Provider Mailing Address Detail
| Address | 465 Stateline Rd W |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386711611 |
| Phone Number | 6623933426 |
| Fax Number | 6623931605 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 1728012 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330549 | MS | -- | |
| 2044813 | PK |
Post Comment/ Review Below
What is the unique 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) 1275567042. This 10-digit code 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: 465 Stateline Rd W, Southaven, MS, 386711611.
What is Kroger Limited Partnership I's area of expertise and its corresponding taxonomy classification?
The Kroger Limited Partnership I's field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275567042 to Kroger Limited Partnership I?
The Centers for Medicare & Medicaid Services originally issued the 1275567042 to Kroger Limited Partnership I on 2006-07-10.
When was the information related to Kroger Limited Partnership I most recently updated or refreshed?
The details pertaining to the Kroger Limited Partnership I, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-03-13.