| NPI | 1164841268 |
|---|---|
| Doing Business As | KROGER PHARMACY #115 |
| Entity Type | Organization |
| Authorized Contact | VICTORIA BONE Licensing Asp 513-587-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29335) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-06-24 |