Organization
JUNIOR FOODS STORES OF WEST FLORDIA INC
Active
Other names
KROGER PHARMACY #125
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
2990 S BLUE ANGEL PKWY, PENSACOLA, FL 32506-6905
(850) 457-2465
(850) 457-2681
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PJ22889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032374800
—
FL
01
—
2009800
PK
—
Enumeration date
09/14/2007
Last updated
05/16/2016
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