| NPI | 1780139154 |
|---|---|
| Doing Business As | KROGER PHARMACY #402 |
| Entity Type | Organization |
| Authorized Contact | JESSIE WARMAN Manager Of Pharmacy Licensing 513-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-03-13 |