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Organization
KROGER PHARMACY
Active
Organization
KROGER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY KLASS RPH (PHARMACY MANAGER)
(937) 754-4427
Entity
Organization
Contact information
Practice address
1161 E DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-6325
(937) 754-4427
(937) 754-4578
Mailing address
1161 E DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-6325
(937) 754-4427
(937) 754-4580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03321850
OH
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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