Local City Search for Medical Equipment Suppliers KROGER LIMITED PARTNERSHIP I
Medical Equipment Supplier Yellow Pages
Peoria, Illinois
Provider NPI: 1508939125
Organization Information:Organization Name: KROGER LIMITED PARTNERSHIP I
Practice Location:
801 W LAKE AVE PEORIA, IL 61614 US
Tel: 309-682-2983 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:
801 W LAKE AVE PEORIA, IL 61614 US
Tel: 309-682-2983 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 | 054013323 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PK | 2023568 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
