Organization
KROGER TEXAS L P
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
2301 RAYFORD RD, SPRING, TX 77386-1708
(832) 813-0410
(832) 813-0417
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100275
PK
—
05
—
466464
—
TX
Enumeration date
08/29/2007
Last updated
06/27/2016
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