| NPI | 1528508439 |
|---|---|
| Doing Business As | KROGER PHARMACY #121 |
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Manager Of Pharmacy Licensing 513-762-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2018-07-19 |