Whalio Doctors

NPI 1003840737

Kroger Limited Partnership I

Organisation Community/Retail Pharmacy Antioch, TN

Practice location

Address
5319 Mount View Rd, Antioch, TN 37013-7323
Phone
(615) 731-8119
Fax
(615) 731-5706
Mailing address
PO Box 842772, Boston, MA 02284-2772

Authorised official

Name
Allison Muennich
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1019

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 1701 (TN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1003840737
Entity type
Organization
NPI issued
10 Jul 2006
Record last updated
16 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.