| NPI | 1730634239 |
|---|---|
| Doing Business As | KROGER PHARMACY #629 |
| Entity Type | Organization |
| Authorized Contact | ALLISON MUENNICH Manager Of Pharmacy Licensing 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |