Organization
KROGER
Active
Organization
KROGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN REIBER (PHARMACIST)
(719) 590-7515
Entity
Organization
Contact information
Practice address
3570 HARTSEL DR, COLORADO SPRINGS, CO 80920-4165
(719) 590-1462
(719) 590-7085
Mailing address
3570 HARTSEL DR, COLORADO SPRINGS, CO 80920-4165
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12949
CO
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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