| NPI | 1780134403 |
|---|---|
| Doing Business As | KROGER PHARMACY #626 |
| Entity Type | Organization |
| Authorized Contact | JESSIE WARMAN Manager Of Pharmacy Licensing 513-762-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE010314) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2018-07-20 |