Kroger Texas L P in Garland - Community/retail Pharmacy

Kroger Texas L P - NPI 1104999630

Kroger Texas L P is a Community/retail Pharmacy in Garland, Texas. Kroger Texas L P practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Kroger Texas L P is 1104999630. The last update date is 2017-12-05.

Kroger Texas L P's current location address is 1406 W Walnut St, Garland, Texas. You can contact this provider via phone number 9724949264 and fax number 9722724171. The mailing address for Kroger Texas L P is 1406 W Walnut St, Garland, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kroger Texas L P
Address 1406 W Walnut St, Garland, Texas
Phone Number 9724949264
Fax Number 9722724171
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACY L
Authorized Official Name Bredestege Allison
Telephone Number 5137621019

NPI Number Detail

NPI Number 1104999630
Provider Enumeration Date 2006-11-15
Last Updated Date 2017-12-05

Provider Mailing Address Detail

Address 1406 W Walnut St
City Garland
State Texas (TX)
Post Code 750425841
Phone Number 9724949264
Fax Number 9722724171

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 20184
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
464527 TX --
2102460 PK

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FAQs about Kroger Texas L P

What is the unique 10-digit identification code issued to Kroger Texas L P by the Centers for Medicare & Medicaid Services?

The Kroger Texas L P has been assigned the NPI (National Provider Identifier) 1104999630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Kroger Texas L P is physically located?

The Kroger Texas L P is physically situated at the following address: 1406 W Walnut St, Garland, TX, 750425841.

What is Kroger Texas L P's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kroger Texas L P's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.

On what date was the 1104999630 assigned to Kroger Texas L P?

The Kroger Texas L P was issued its 1104999630 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Kroger Texas L P most recently updated or revised?

The information pertaining to Kroger Texas L P, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-05.

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