Organization · NPI-2
Kroger Texas L P
Pharmacy, Community/Retail Pharmacy · Highland Village, TX
NPI number1225101744
StatusActive
Last updated in NPPESMay 16, 2016
Details
- NPI
- 1225101744
- Entity type
- Organization (NPI-2)
- Legal business name
- Kroger Texas L P
- Organization subpart
- No
- Enumeration date
- Nov 15, 2006
- Last updated
- May 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 21485 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Kroger Pharmacy (Doing Business As)
Practice location
2240 Fm 407Highland Village, TX 75077-7165
Phone 972-317-5738 · Fax 972-317-5592
Mailing address
Po Box 842772Boston, MA 02284-2772
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
5137621019
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.