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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