Organization
KROGER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY LYNN SUMMERS (PHARMACIST)
(304) 290-7732
Entity
Organization
Contact information
Practice address
19 7TH AVE W, HUNTINGTON, WV 25701-1734
(304) 522-6677
Mailing address
19 7TH AVE W, HUNTINGTON, WV 25701-1734
(304) 522-6677
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0009882
WV
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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