Organization
KROGER TEXAS L P
Active
Other names
KROGER PHARMACY #557
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
6850 N SHILOH RD, GARLAND, TX 75044-2912
(972) 496-4503
(972) 496-4303
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
20266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2096117
PK
—
05
—
464637
—
TX
Enumeration date
11/16/2006
Last updated
05/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us