Kroger

NPI #1356711873 in Mesquite, Texas

Provider Information

NPI Number: 1356711873
Entity Type: Organization
Organization Name: Kroger
Primary Specialty: Pharmacist
Enumeration Date: Sep 26, 2015
Last Updated: Sep 26, 2015

Practice Location

Address: 3600 GUS THOMASSON RD
City: Mesquite
State: Texas
ZIP Code: 75150-6200
Phone: (972) 270-2401

Authorized Official

Name: RICHARD MENDOZA, PHARMD
Title: PHARMACIST
Phone: (972) 270-2401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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