Organization
KROGER TEXAS L P
Active
Other names
Kroger Pharmacy #131
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (LICENSING MANAGER)
(513) 762-1019
Entity
Organization
Contact information
Practice address
18861 UNIVERSITY BLVD, SUGAR LAND, TX 77479-5155
(513) 762-1019
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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