Organization
KROGER TEXAS L P
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1950 EL DORADO BLVD, HOUSTON, TX 77062-3621
(281) 480-7092
(281) 480-7452
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091006
PK
—
05
—
466108
—
TX
Enumeration date
11/15/2006
Last updated
05/16/2016
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