Organization
KROGER TEXAS LP
Active
Organization
KROGER TEXAS LP
Active
Other names
KROGER PHARMACY #122
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
2700 W GRAND PKWY N, KATY, TX 77449-1912
(346) 307-3085
(346) 307-3088
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160537
PK
—
05
—
471029
—
TX
Enumeration date
06/08/2016
Last updated
09/19/2025
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