Kroger Limited Partnership I in Herrin - Community/retail Pharmacy

Kroger Limited Partnership I - NPI 1598799306

Kroger Limited Partnership I is a Community/retail Pharmacy in Herrin, 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 1598799306. The last update date is 2016-05-18.

Kroger Limited Partnership I's current location address is 1609 S Park Ave, Herrin, Illinois. You can contact this provider via phone number 6189881649 and fax number 6189886741. The mailing address for Kroger Limited Partnership I is 1609 S Park Ave, Herrin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kroger Limited Partnership I
Address 1609 S Park Ave, Herrin, Illinois
Phone Number 6189881649
Fax Number 6189886741
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1598799306
Provider Enumeration Date 2006-07-10
Last Updated Date 2016-05-18

Provider Mailing Address Detail

Address 1609 S Park Ave
City Herrin
State Illinois (IL)
Post Code 629484162
Phone Number 6189881649
Fax Number 6189886741

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 54011930
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
2022826 PK

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FAQs about Kroger Limited Partnership I

What is the Kroger Limited Partnership I's unique identification number?

The Kroger Limited Partnership I has been assigned the NPI (National Provider Identifier) Number 1598799306 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Kroger Limited Partnership I?

The Kroger Limited Partnership I is situated at 1609 S Park Ave, in the city of Herrin, state of IL, with the zip code 629484162.

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 Kroger Limited Partnership I receive its 1598799306 assignment from the Centers for Medicare & Medicaid Services?

The Kroger Limited Partnership I was assigned its 1598799306 on 2006-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Kroger Limited Partnership I's details last updated?

The information pertaining to the Kroger Limited Partnership I, including its address, specialty, and other details, was most recently updated on 2016-05-18.

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