Organization
KROGER TEXAS LIMITED PARTNERSHIP
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON COOLEY (PHARMACY MERCHANDISER)
(713) 507-6276
Entity
Organization
Contact information
Practice address
10998 FUQUA ST, HOUSTON, TX 77089-2410
(281) 481-0231
(281) 484-2894
Mailing address
19245 DAVID MEMORIAL DR, CONROE, TX 77385-8778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
20176
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4557851
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
464518
—
TX
Enumeration date
11/16/2006
Last updated
09/11/2025
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