Organization
KROGER TEXAS LP
Active
Other names
Kroger Pharmacy Southwest Division
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL MARK WOOLF RPH (DIRECTOR OF PHARMACY)
(513) 762-4672
Entity
Organization
Contact information
Practice address
2700 E 4TH AVE, HUTCHINSON, KS 67501-1903
(866) 680-5133
(620) 669-1898
Mailing address
PO BOX 415000, MSC 410646 KROGER SOUTHWEST PHARMACY, NASHVILLE, TN 37241-5000
(866) 680-5133
(620) 669-1898
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Enumeration date
02/15/2007
Last updated
03/06/2008
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