KROGER LIMITED PARTNERSHIP I
Medical Equipment Supplier Yellow Pages
Chillicothe, Illinois
Provider NPI: 1780757302
Organization Information:Organization Name: KROGER LIMITED PARTNERSHIP I
Practice Location:
603 S 4TH ST CHILLICOTHE, IL 61523 US
Tel: 309-274-3419 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
603 S 4TH ST CHILLICOTHE, IL 61523 US
Tel: 309-274-3419 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | IL | 054015070 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2021479 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin