Organization
KROGER TEXAS LP
Active
Other names
Kroger Pharmacy #597
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (FACILITY CREDENTIALING MANAGER)
(513) 587-5328
Entity
Organization
Contact information
Practice address
26587 E UNIVERSITY DR, LITTLE ELM, TX 76227-4719
(940) 343-9166
(940) 488-4298
Mailing address
PO BOX 830242, PHILADELPHIA, PA 19183-0352
(513) 762-1090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
05/15/2026
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