NPI | 1649753476 |
---|---|
Doing Business As | KROGER PHARMACY #03500565 |
Entity Type | Organization |
Authorized Contact | JESSIE WARMAN Manager Of Licensing 513-762-1019 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-09-07 |
Last Update Date | 2019-01-24 |