Organization
KROGER TEXAS LP
Active
Organization
KROGER TEXAS LP
Active
Other names
KROGER PHARMACY #541
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN BONE (LICENSING ASP)
(513) 587-5303
Entity
Organization
Contact information
Practice address
113 E BONDS RANCH RD, FORT WORTH, TX 76131-2631
(817) 484-5074
(817) 900-8829
Mailing address
PO BOX 830242, PHILADELPHIA, PA 19182-0352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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