| NPI | 1356375109 | 
|---|---|
| Doing Business As | KROGER PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | JESSIE WARMAN Manager Rx Licensing 513-762-1090 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007373) | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2019-01-25 |