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 |