NPI | 1043673650 |
---|---|
Doing Business As | KROGER PHARMACY #672 |
Entity Type | Organization |
Authorized Contact | JESSIE WARMAN Manager Of Pharmacy Licensing 513-762-1263 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010295) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2016-03-31 |
Last Update Date | 2018-07-20 |