| NPI | 1649776477 |
|---|---|
| Doing Business As | KROGER PHARMACY #572 |
| Entity Type | Organization |
| Authorized Contact | LYSETTE SEILHAMER Manager Rx Licensing 513-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-06-02 |