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General NPI Number Information
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NPI Number | 1609949916
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Entity Type | Organization
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Legal Business Name | KROGER TEXAS L P
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 8323 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77581-7766
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Country | US
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Telephone | 281-997-6500
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Fax | 281-997-6305
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Provider Business Mailing Address
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Address Line | PO BOX 842772
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City | BOSTON
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State | MA
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Zip | 02284-2772
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Country | US
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Telephone | 513-762-1019
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Fax | 513-762-1092
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Authorized Official
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Title or Position | MANAGER OF PHARMACY LICENSING
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Name | ALLISON MUENNICH
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Credential |
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Telephone | 513-762-1019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 20419
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License Number State | TX
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