Organization · Type 2 NPI

Kroger Limited Partnership I

Community/Retail Pharmacy · Vicksburg, MS

NPI number 1093749871 Active

Practice location

3405 Pemberton Square Blvd
Vicksburg, MS 39180-5574

Call (601) 638-3412 Map

Fax (601) 638-3628

Mailing address

800 Ridge Lake Blvd
Memphis, TN 38120-9427

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	1957012 (MS)

Community/Retail Pharmacy: 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 …

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About NPI 1093749871

Kroger Limited Partnership I's National Provider Identifier is 1093749871, issued on Jul 10, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Vicksburg, MS. The record was last updated on Jun 24, 2009.