Kroger Pharmacy

NPI #1740403401 in Fairborn, Ohio

Provider Information

NPI Number: 1740403401
Entity Type: Organization
Organization Name: Kroger Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Apr 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1161 E DAYTON YELLOW SPRINGS RD
City: Fairborn
State: Ohio
ZIP Code: 45324-6325
Phone: (937) 754-4427

Authorized Official

Name: MR. ROY KLASS, RPH
Title: PHARMACY MANAGER
Phone: (937) 754-4427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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