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
5021 TEASLEY LN, DENTON, TX 76210-3814
(940) 380-4111
(940) 380-4112
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117170
PK
—
05
—
466563
—
TX
Enumeration date
09/30/2008
Last updated
06/27/2016
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