| NPI | 1386391548 |
|---|---|
| Doing Business As | KROGER PHARMACY #011 |
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN ANDREWS Manager Of Licensing 513-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |