Organization · Type 2 NPI

Kroger Limited Partnership I

Community/Retail Pharmacy · Peoria, IL

NPI number 1710050331 Active

Practice location

3311 N Sterling Ave
Peoria, IL 61604-1840

Call (309) 679-2855 Map

Fax (309) 679-2856

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 3336C0003X054011031 (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 1710050331

Kroger Limited Partnership I's National Provider Identifier is 1710050331, 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.