Kroger Texas L P

NPI #1861565178 in Montgomery, Texas

Provider Information

NPI Number
1861565178
Entity Type
Organization
Organization Name
Kroger Texas L P
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 16, 2006
Last Updated
Mar 11, 2019

Practice Location

Address
20168 EVA ST
State
Texas
ZIP Code
77356-2006
Phone
(936) 449-7167

Authorized Official

Name
JESSIE WARMAN
Title
MANAGER PHARMACY LICENSING
Phone
(513) 762-1090

Specialties & Taxonomy Codes

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

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