Organization
KROGER CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOC KHAC LE PHARMD (PHARMACIST)
(520) 426-4701
Entity
Organization
Contact information
Practice address
2858 N PINAL AVE, CASA GRANDE, AZ 85122-7917
(520) 426-4701
Mailing address
2858 N PINAL AVE, CASA GRANDE, AZ 85122-7917
(520) 426-4701
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S012817
AZ
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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