Organization
KROGER TEXAS L P
Active
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
24401 BRAZOS TOWN XING, ROSENBERG, TX 77471-6268
(281) 232-1237
(281) 232-1239
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
26445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121741
PK
—
05
—
466644
—
TX
Enumeration date
09/03/2009
Last updated
06/27/2016
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