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KROGER LIMITED PARTNERSHIP I

Medical Equipment Supplier Yellow Pages

La Porte, Indiana

Provider NPI: 1558434860

Organization Information:
Organization Name:  KROGER LIMITED PARTNERSHIP I


Practice Location:
55 PINE LAKE SC  LA PORTE, IN 46350 US
Tel: 219-325-3152  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
Y3336C0003XSuppliers
Pharmacy
IN60005187

Other Provider Identifiers:

IssuerNumberStateType
PK202701601
100299370AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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