Kroger Limited Partnership I
Kroger Limited Partnership I is a Durable Medical Equipment & Medical Supplies in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
1818 Airport PlzDecatur, IL 62521-9717
Phone: (217) 864-5912
Fax: (217) 864-4861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054013355 (IL) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1699848218 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessie Warman — Manager Rx Licensing · (513) 762-1090 |
| Other names | Kroger Pharmacy 946 |
| NPI enumerated | November 15, 2006 |
| Last updated in NPPES | March 31, 2020 |
| Certification date | March 31, 2020 |
| Mailing address | Po Box 842772, Boston, MA 02284-2772 |
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Kroger Limited Partnership I
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Kroger Limited Partnership I
255 W 1st Dr, Decatur, IL 62521-5205 · (217) 428-1778
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Kroger Limited Partnership I
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