NPI 1063896991

Kroger Limited Partnership I

Organisation Community/Retail Pharmacy Roanoke, VA

Practice location

Address: 4375 Brambleton Ave, Roanoke, VA 24018-3404
Phone: (540) 772-0605
Fax: (540) 772-0601
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 (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 0201003350 (VA)

Other Pharmacy providers in Virginia →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Virginia →

Registry record

NPI: 1063896991
Entity type: Organization
NPI issued: 9 Jul 2015
Record last updated: 28 Jul 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.