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
10250 FRESNO STATE HWY 6, FRESNO, TX 77545
(281) 431-6113
(281) 431-6117
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117440
PK
—
05
—
466564
—
TX
05
—
466565
—
TX
Enumeration date
10/16/2008
Last updated
05/18/2016
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