| NPI | 1750837670 |
|---|---|
| Doing Business As | KROGER PHARMACY #743 |
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Manager Of Pharmacy Licensing 513-762-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011042) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2017-01-17 |