Kroger

NPI #1225572639 in Portland, Oregon

Provider Information

NPI Number: 1225572639
Entity Type: Organization
Organization Name: Kroger
Primary Specialty: Pharmacist
Enumeration Date: Dec 5, 2016
Last Updated: Dec 5, 2016

Practice Location

Address: 7404 N INTERSTATE AVE
City: Portland
State: Oregon
ZIP Code: 97217-5528
Phone: (503) 286-6784

Authorized Official

Name: DR. HIEU MINH NGUYEN, PHARM.D.
Title: PHARMACIST
Phone: (971) 570-5390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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