Organization
KROGER TEXAS L P
Active
Other names
KROGER PHARMACY #150
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
6315 GARTH RD, BAYTOWN, TX 77521-9686
(346) 216-4155
(346) 216-4157
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105423
PK
—
05
—
464538
—
TX
Enumeration date
11/15/2006
Last updated
04/26/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us