| NPI | 1952444036 |
|---|---|
| Doing Business As | KROGER PHARMACY GREAT LAKES DIVISION |
| Entity Type | Organization |
| Authorized Contact | WENDELL MARK WOOLF Director Of Pharmacy 513-762-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-03-12 |