| 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 | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2025-09-19 |