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Organization
KROGER
Active
Organization
KROGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MENDOZA PHARMD (PHARMACIST)
(972) 270-2401
Entity
Organization
Contact information
Practice address
3600 GUS THOMASSON RD, MESQUITE, TX 75150-6200
(972) 270-2401
(972) 613-2465
Mailing address
3600 GUS THOMASSON RD, MESQUITE, TX 75150-6200
(972) 270-2401
(972) 613-2465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55682
TX
Other
Enumeration date
09/26/2015
Last updated
09/26/2015
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