The Kroger Co
NPI #1164595682 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1164595682
- Entity Type
- Organization
- Organization Name
- The Kroger Co
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Mar 15, 2018
Practice Location
- Address
- 9155 MANSFIELD RD
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71118-3122
- Phone
- (318) 688-2582
Authorized Official
- Name
- ALLISON BREDESTEGE
- Title
- MANAGER OF PHARMACY LICENSING
- Phone
- (513) 762-1019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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