| NPI | 1063585586 |
|---|---|
| Doing Business As | KROGER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN ANDREWS Manager Of Licensing 937-728-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 20200) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-12-15 |