Organization
KROGER TEXAS LP
Active
Other names
KROGER PHARMACY #038
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
25050 FM 1093 RD, RICHMOND, TX 77406-3616
(832) 586-7376
(713) 422-8031
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1307140242
—
TX
01
—
2136386
PK
—
Enumeration date
08/08/2012
Last updated
05/16/2016
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