NPI | 1790087468 |
---|---|
Doing Business As | KROGER PHARMACY |
Entity Type | Organization |
Authorized Contact | LYSETTE SEILHAMER Manager Of Licensing 515-762-1090 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113450) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-12-01 |
Last Update Date | 2023-02-20 |