NPI 1184008377

Kroger Limited Partnership I

Organisation Community/Retail Pharmacy Benton, AR

Practice location

Address: 2080 I-30 North, Benton, AR 72019
Phone: (501) 574-3884
Fax: (501) 574-3887
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 AR20810 (AR)

Other Pharmacy providers in Arkansas →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1184008377
Entity type: Organization
NPI issued: 17 Jul 2015
Record last updated: 19 Apr 2018

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.