Organization
KROGER TEXAS LIMITED PARTNERSHIP
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON COOLEY (PHARMACY MERCHANDISER)
(713) 507-6276
Entity
Organization
Contact information
Practice address
6479 CAMP BOWIE BLVD, FORT WORTH, TX 76116-4356
(817) 738-9100
(817) 738-1957
Mailing address
19245 DAVID MEMORIAL DR, CONROE, TX 77385-8778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
22260
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4524042
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
465260
—
TX
Enumeration date
11/15/2006
Last updated
09/11/2025
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