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Kroger Limited Partnership I
Community/Retail Pharmacy in Vicksburg, Mississippi
NPI 1164670063

Kroger Limited Partnership I is a Community/Retail Pharmacy based in Boston, MS and is specialized in Community/Retail Pharmacy. Kroger Limited Partnership I practices in Vicksburg, MS. The NPI Number for Kroger Limited Partnership I is 1164670063 and holds a License No. (Mississippi).

The current practice location address for Kroger Limited Partnership I is 3408 Pemberton Square Blvd, Vicksburg, MS and can be reached out via phone at 601-630-4003 and via fax at 601-630-4004. 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: 3408 Pemberton Square Blvd, Vicksburg, MS, 02284-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164670063
Provider Name
Kroger Limited Partnership I
Credential
Provider Entity Type
Organization
Address
3408 Pemberton Square Blvd, Vicksburg, MS, 02284-2772
Phone Number
601-630-4003
Fax Number
601-630-4004
Provider Enumeration Date
09/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2116834 01 PK
04875396 05 MS
institution
Provider Business Practice Location Address Details
Address
3408 Pemberton Square Blvd
City
Vicksburg
State
Mississippi
Zip
39180-5573
Phone Number
601-630-4003
Fax Number
601-630-4004
person
Provider Business Mailing Address Details
Address
Po Box 842772
City
Boston
State
Massachusetts
Zip
02284-2772
Phone Number
513-762-1019
Fax Number
513-762-1092
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
07832 (Mississippi)
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
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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