Whalio Doctors

NPI 1013080530

Kroger Limited Partnership I

Organisation Community/Retail Pharmacy Indianapolis, IN

Practice location

Address
8939 E 38th St, Indianapolis, IN 46226-6032
Phone
(317) 899-7077
Fax
(317) 899-7078
Mailing address
5960 Castleway West Dr, Indianapolis, IN 46250-1977

Authorised official

Name
Matt Mineer
Title
Interface Manager
Phone
(513) 387-7074

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 60005133 (IN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1013080530
Entity type
Organization
NPI issued
15 Nov 2006
Record last updated
24 Jun 2009

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.