Organization · Type 2 NPI

Kroger Limited Partnership I

Community/Retail Pharmacy · Pekin, IL

NPI number 1457424079 Active

Practice location

1607 Broadway St
Pekin, IL 61554-3805

Fax (309) 353-3968

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X054007287 (IL)

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 1457424079

Kroger Limited Partnership I's National Provider Identifier is 1457424079, issued on Nov 15, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pekin, IL. The record was last updated on May 18, 2016.