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Kroger Limited Partnership I
Community/Retail Pharmacy in Blytheville, Arkansas
NPI 1407880255

Kroger Limited Partnership I is a Community/Retail Pharmacy based in Boston, AR and is specialized in Community/Retail Pharmacy. Kroger Limited Partnership I practices in Blytheville, AR. The NPI Number for Kroger Limited Partnership I is 1407880255 and holds a License No. (Arkansas).

The current practice location address for Kroger Limited Partnership I is 400 W Moultrie Dr, Blytheville, AR and can be reached out via phone at 870-763-7951 and via fax at 870-763-7958.

Location: 400 W Moultrie Dr, Blytheville, AR, 02284-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407880255
Provider Name
Kroger Limited Partnership I
Credential
Provider Entity Type
Organization
Address
400 W Moultrie Dr, Blytheville, AR, 02284-2772
Phone Number
870-763-7951
Fax Number
870-763-7958
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1988305 01 PK
132442407 05 AR
institution
Provider Business Practice Location Address Details
Address
400 W Moultrie Dr
City
Blytheville
State
Arkansas
Zip
72315-1716
Phone Number
870-763-7951
Fax Number
870-763-7958
person
Provider Business Mailing Address Details
Address
400 W Moultrie Dr
City
Blytheville
State
Arkansas
Zip
72315-1716
Phone Number
870-763-7951
Fax Number
870-763-7958
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
420104 (Arkansas)
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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