Organization
THE KROGER CO
Active
Other names
Kroger Health Connect - Lake Mary
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(515) 762-1090
Entity
Organization
Contact information
Practice address
3200 LAKE EMMA RD UNIT 1000, LAKE MARY, FL 32746-3358
(513) 867-5050
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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