| NPI | 1619397478 | 
|---|---|
| Doing Business As | KROGER PHARMACY #618 | 
| Entity Type | Organization | 
| Authorized Contact | JESSIE WARMAN Manager Of Pharmacy Licensing 513-762-1019  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010043)  | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| 333600000X Pharmacy | |
| Enumeration Date | 2014-04-21 | 
| Last Update Date | 2018-07-20 |