| NPI | 1194005629 |
|---|---|
| Doing Business As | KROGER PHARMACY #419 |
| Entity Type | Organization |
| Authorized Contact | JESSIE WARMAN Manager Of Pharmacy Licensing 513-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 00004096) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2020-03-13 |