# KROGER TEXAS L P

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coushatta Family Medical Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215210786
- **Authorized official:** KARLA LANGWORTHY (MANAGER OF PHARMACY CREDENTIALING)
- **Authorized official phone:** (513) 698-1878

## Contact information

- **Practice address:** 287 PANTHER TRAIL DRIVE, KINDER, LA 70648
- **Practice address phone:** (337) 738-3095
- **Practice address fax:** (337) 738-3163
- **Mailing address:** 1014 VINE ST, CINCINNATI, OH 45202-1141
- **Mailing address phone:** (513) 698-1878
- **Mailing address fax:** (513) 762-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 006431 | LA | Yes |

## Other

- **Enumeration date:** 09/21/2011
- **Last updated:** 04/07/2014