Organization
KROGER TEXAS LIMITED PARTNERSHIP
Active
Organization
KROGER TEXAS LIMITED PARTNERSHIP
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TRUSTER (PHARMACY ECOMMERCE MANAGER)
(513) 387-7113
Entity
Organization
Contact information
Practice address
295 SAWDUST RD, SPRING, TX 77380-2238
(281) 363-3595
(281) 363-2405
Mailing address
19245 DAVID MEMORIAL DR, SHENANDOAH, TX 77385-8778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4564262
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
464569
—
TX
Enumeration date
11/15/2006
Last updated
02/20/2009
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