Organization · Type 2 NPI

Kroger Limited Partnership I

Community/Retail Pharmacy · Charleston, WV

NPI number 1770517559 Active

Practice location

5717 Maccorkle Ave SE
Charleston, WV 25304-2803

Fax (304) 925-8433

Mailing address

P.o. Box 842772
Boston, MA 02284

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X550901 (WV)

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 …

5 other providers at this address

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About NPI 1770517559

Kroger Limited Partnership I's National Provider Identifier is 1770517559, issued on Jul 10, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Charleston, WV. The record was last updated on Sep 19, 2025.