| NPI | 1588423370 |
|---|---|
| Doing Business As | KROGER DRUGSTORE #664 |
| Entity Type | Organization |
| Authorized Contact | LYSETTE SEILHAMER Manager Of Licensing 515-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |