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Kroger Limited Partnership I
Community/Retail Pharmacy in Columbia City, Indiana
NPI 1003989526

Kroger Limited Partnership I is a Community/Retail Pharmacy based in Boston, IN and is specialized in Community/Retail Pharmacy. Kroger Limited Partnership I practices in Columbia City, IN. The NPI Number for Kroger Limited Partnership I is 1003989526 and holds a License No. (Indiana).

The current practice location address for Kroger Limited Partnership I is 621 Country Side Dr, Columbia City, IN and can be reached out via phone at 260-248-4572 and via fax at 260-248-4573. You can also correspond with Kroger Limited Partnership I through the mailing address at PO BOX 842772, BOSTON, MA - 02284-2772 (mailing address contact number: 513-762-1019).

Location: 621 Country Side Dr, Columbia City, IN, 02284-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003989526
Provider Name
Kroger Limited Partnership I
Credential
Provider Entity Type
Organization
Address
621 Country Side Dr, Columbia City, IN, 02284-2772
Phone Number
260-248-4572
Fax Number
260-248-4573
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2027722 01 PK
200029740A 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Country Side Dr
City
Columbia City
State
Indiana
Zip
46725-1101
Phone Number
260-248-4572
Fax Number
260-248-4573
person
Provider Business Mailing Address Details
Address
621 Country Side Dr
City
Columbia City
State
Indiana
Zip
46725-1101
Phone Number
260-248-4572
Fax Number
260-248-4573
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
60005152 (Indiana)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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