| NPI | 1063695187 |
|---|---|
| Doing Business As | KROGER APOTHECARY MIDATLANTIC |
| Entity Type | Organization |
| Authorized Contact | JEFF THOMPSON Pharmacy Merchandiser 540-563-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201003731) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201003731) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2023-03-07 |