| NPI | 1720220197 |
|---|---|
| Doing Business As | KROGER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JESSIE WARMAN Manager Rx Licensing 513-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009070) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2019-01-25 |