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Kroger Limited Partnership I
Community/Retail Pharmacy in Cross Lanes, West Virginia
NPI 1043244825

Kroger Limited Partnership I is a Community/Retail Pharmacy based in Boston, WV and is specialized in Community/Retail Pharmacy. Kroger Limited Partnership I practices in Cross Lanes, WV. The NPI Number for Kroger Limited Partnership I is 1043244825 and holds a License No. (West Virginia).

The current practice location address for Kroger Limited Partnership I is 5450 Big Tyler Rd, Cross Lanes, WV and can be reached out via phone at 304-776-5178 and via fax at 304-769-0393.

Location: 5450 Big Tyler Rd, Cross Lanes, WV, 02284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043244825
Provider Name
Kroger Limited Partnership I
Credential
Provider Entity Type
Organization
Address
5450 Big Tyler Rd, Cross Lanes, WV, 02284
Phone Number
304-776-5178
Fax Number
304-769-0393
Provider Enumeration Date
07/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2109885 01 PK
0013178024 05 WV
institution
Provider Business Practice Location Address Details
Address
5450 Big Tyler Rd
City
Cross Lanes
State
West Virginia
Zip
25313-1146
Phone Number
304-776-5178
Fax Number
304-769-0393
person
Provider Business Mailing Address Details
Address
5450 Big Tyler Rd
City
Cross Lanes
State
West Virginia
Zip
25313-1146
Phone Number
304-776-5178
Fax Number
304-769-0393
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
550858 (West Virginia)
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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