NPI 1104850981

Kroger Limited Partnership I

Organisation Community/Retail Pharmacy Horn Lake, MS

Practice location

Address: 7251 Interstate Dr, Horn Lake, MS 38637-1410
Phone: (662) 349-8336
Fax: (662) 359-8337
Mailing address: PO Box 842772, Boston, MA 02284-2772

Authorised official

Name: Jessie Warman
Title: Manager of Pharmacy Licensing
Phone: (513) 762-1090

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 0315301KH (MS)

Other Pharmacy providers in Mississippi →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Mississippi →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1104850981
Entity type: Organization
NPI issued: 10 Jul 2006
Record last updated: 13 Mar 2020

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.