| NPI | 1659607141 |
|---|---|
| Doing Business As | KROGER PHARMACY #698 |
| Entity Type | Organization |
| Authorized Contact | LYSETTE SEILHAMER Pharmacy Licensing Manager 515-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000004680) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2023-04-06 |