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Kroger Limited Partnership I
Community/Retail Pharmacy in Bourbonnais, Illinois
NPI 1407042120

Kroger Limited Partnership I is a Community/Retail Pharmacy based in Boston, IL and is specialized in Community/Retail Pharmacy. Kroger Limited Partnership I practices in Bourbonnais, IL. The NPI Number for Kroger Limited Partnership I is 1407042120 and holds a License No. 054007056 (Illinois).

The current practice location address for Kroger Limited Partnership I is 633 Armour Rd, Bourbonnais, IL and can be reached out via phone at 815-935-1653 and via fax at 815-935-1654.

Location: 633 Armour Rd, Bourbonnais, IL, 02284-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407042120
Provider Name
Kroger Limited Partnership I
Credential
Provider Entity Type
Organization
Address
633 Armour Rd, Bourbonnais, IL, 02284-2772
Phone Number
815-935-1653
Fax Number
815-935-1654
Provider Enumeration Date
09/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2023611 01 PK
institution
Provider Business Practice Location Address Details
Address
633 Armour Rd
City
Bourbonnais
State
Illinois
Zip
60914-2077
Phone Number
815-935-1653
Fax Number
815-935-1654
person
Provider Business Mailing Address Details
Address
633 Armour Rd
City
Bourbonnais
State
Illinois
Zip
60914-2077
Phone Number
815-935-1653
Fax Number
815-935-1654
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054007056 (Illinois)
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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