Whalio Doctors

NPI 1790719425

Kroger Limited Partnership I

Organisation Community/Retail Pharmacy Pigeon Forge, TN

Practice location

Address
220 Wears Valley Rd, Pigeon Forge, TN 37863-4215
Phone
(865) 428-0629
Fax
(865) 908-5068
Mailing address
PO Box 842772, Boston, MA 02284-2772

Authorised official

Name
Lysette Seilhamer
Title
Pharmacy Licensing Manager
Phone
(515) 762-1090

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 3067 (TN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1790719425
Entity type
Organization
NPI issued
10 Jul 2006
Record last updated
6 Apr 2023

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.