Organization
KROGER TEXAS LP
Active
Other names
KROGER PHARMACY #03500565
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1801 N LAKE FOREST DR, MCKINNEY, TX 75071-7602
(513) 762-1019
Mailing address
PO BOX 842440, BOSTON, MA 02284-2440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
01/24/2019
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