The Kroger Co
The Kroger Co is a Durable Medical Equipment & Medical Supplies in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.
- Licensed in
- LA
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
9484 Ellerbe Rd Ste 100Shreveport, LA 71106
Phone: (318) 517-6973
Fax: (318) 517-6976
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY.007389-RC (LA) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1548611288 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessie Warman — Manager Of Pharmacy Licensing · (513) 762-1263 |
| Other names | Kroger Pharmacy #533; Kroger Pharmacy #533 |
| NPI enumerated | June 23, 2016 |
| Last updated in NPPES | July 20, 2018 |
| Mailing address | Po Box 842772, Boston, MA 02284-2772 |
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