| NPI | 1851325690 |
|---|---|
| Doing Business As | KROGER PHARMACY #759 |
| Entity Type | Organization |
| Authorized Contact | JESSIE WARMAN Manager Rx Licensing 513-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301005879) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-01-16 |