Kroger Limited Partnership I in Bourbonnais - Community/retail Pharmacy

Kroger Limited Partnership I - NPI 1407042120

Kroger Limited Partnership I is a Community/retail Pharmacy in Bourbonnais, Illinois. 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 1407042120. The last update date is 2016-05-18.

Kroger Limited Partnership I's current location address is 633 Armour Rd, Bourbonnais, Illinois. You can contact this provider via phone number 8159351653 and fax number 8159351654. The mailing address for Kroger Limited Partnership I is 633 Armour Rd, Bourbonnais, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kroger Limited Partnership I
Address 633 Armour Rd, Bourbonnais, Illinois
Phone Number 8159351653
Fax Number 8159351654
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER OF
Authorized Official Name Muennich Allison
Telephone Number 5137621019

NPI Number Detail

NPI Number 1407042120
Provider Enumeration Date 2007-09-17
Last Updated Date 2016-05-18

Provider Mailing Address Detail

Address 633 Armour Rd
City Bourbonnais
State Illinois (IL)
Post Code 609142077
Phone Number 8159351653
Fax Number 8159351654

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 54007056
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
2023611 PK

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FAQs about Kroger Limited Partnership I

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

The Kroger Limited Partnership I has been assigned the NPI (National Provider Identifier) 1407042120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Kroger Limited Partnership I is geographically located?

The Kroger Limited Partnership I is physically situated at the following location: 633 Armour Rd, Bourbonnais, IL, 609142077.

What is Kroger Limited Partnership I's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kroger Limited Partnership I is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.

When did the Kroger Limited Partnership I receive its 1407042120?

The Kroger Limited Partnership I was issued its 1407042120 on 2007-09-17, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Kroger Limited Partnership I most recently updated or revised?

The information pertaining to Kroger Limited Partnership I, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-18.

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