Kroger Texas L P

NPI #1730601782 in Midlothian, Texas

Provider Information

NPI Number
1730601782
Entity Type
Organization
Organization Name
Kroger Texas L P
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 12, 2017
Last Updated
Jul 12, 2017

Practice Location

Address
2200 FM 663
State
Texas
ZIP Code
76065-5600
Phone
(469) 336-2041

Authorized Official

Name
ALLISON BREDESTEGE
Title
MANAGER OF PHARMACY LICENSING
Phone
(513) 762-1019

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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