Organization · Type 2 NPI

Kroger Limited Partnership I

Community/Retail Pharmacy · Peoria, IL

NPI number 1508939125 Active

Practice location

801 W Lake Ave
Peoria, IL 61614-5951

Call (309) 682-2983 Map

Fax (309) 682-3128

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	054013323 (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 …

3 other providers at this address

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About NPI 1508939125

Kroger Limited Partnership I's National Provider Identifier is 1508939125, issued on Nov 15, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Peoria, IL. The record was last updated on May 18, 2016.