| NPI | 1043368046 |
|---|---|
| Doing Business As | KROGER PHARMACY #770 |
| Entity Type | Organization |
| Authorized Contact | LYSETTE SEILHAMER Manager Of Licensing 515-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 021043300) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-01-31 |