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Kroger Limited Partnership I
Community/Retail Pharmacy in Clinton, Mississippi
NPI 1639103401

Kroger Limited Partnership I is a Community/Retail Pharmacy based in Memphis, MS and is specialized in Community/Retail Pharmacy. Kroger Limited Partnership I practices in Clinton, MS. The NPI Number for Kroger Limited Partnership I is 1639103401 and holds a License No. (Mississippi).

The current practice location address for Kroger Limited Partnership I is 406 Springridge Rd, Clinton, MS and can be reached out via phone at 601-924-7422 and via fax at 601-924-7423.

Location: 406 Springridge Rd, Clinton, MS, 38120-9427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639103401
Provider Name
Kroger Limited Partnership I
Credential
Provider Entity Type
Organization
Address
406 Springridge Rd, Clinton, MS, 38120-9427
Phone Number
601-924-7422
Fax Number
601-924-7423
Provider Enumeration Date
07/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2512502 01 NCPDP PROVIDER IDENTIFICATION NUMBER
0330553 05 MS
institution
Provider Business Practice Location Address Details
Address
406 Springridge Rd
City
Clinton
State
Mississippi
Zip
39056-4804
Phone Number
601-924-7422
Fax Number
601-924-7423
person
Provider Business Mailing Address Details
Address
406 Springridge Rd
City
Clinton
State
Mississippi
Zip
39056-4804
Phone Number
601-924-7422
Fax Number
601-924-7423
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1559012 (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
-
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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