Organization
KROGER TEXAS L P
Active
Other names
Kroger Pharmacy #520
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
3120 S UNIVERSITY DR, FORT WORTH, TX 76109-5614
(817) 566-7861
(817) 566-7863
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124287
PK
—
05
—
466683
—
TX
Enumeration date
03/19/2010
Last updated
09/19/2025
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