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Kroger Limited Partnership I
Community/Retail Pharmacy in Fort Wayne, Indiana
NPI 1902979420

Kroger Limited Partnership I is a Community/Retail Pharmacy based in Boston, IN and is specialized in Community/Retail Pharmacy. Kroger Limited Partnership I practices in Fort Wayne, IN. The NPI Number for Kroger Limited Partnership I is 1902979420 and holds a License No. (Indiana).

The current practice location address for Kroger Limited Partnership I is 6002 Saint Joe Center Rd, Fort Wayne, IN and can be reached out via phone at 260-492-2054 and via fax at 260-492-0037.

Location: 6002 Saint Joe Center Rd, Fort Wayne, IN, 02284-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902979420
Provider Name
Kroger Limited Partnership I
Credential
Provider Entity Type
Organization
Address
6002 Saint Joe Center Rd, Fort Wayne, IN, 02284-2772
Phone Number
260-492-2054
Fax Number
260-492-0037
Provider Enumeration Date
11/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2024014 01 PK
200169370A 05 IN
institution
Provider Business Practice Location Address Details
Address
6002 Saint Joe Center Rd
City
Fort Wayne
State
Indiana
Zip
46835-2503
Phone Number
260-492-2054
Fax Number
260-492-0037
person
Provider Business Mailing Address Details
Address
6002 Saint Joe Center Rd
City
Fort Wayne
State
Indiana
Zip
46835-2503
Phone Number
260-492-2054
Fax Number
260-492-0037
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
60005192 (Indiana)
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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