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Kroger Texas L P
Community/Retail Pharmacy in Fort Worth, Texas
NPI 1982777504

Kroger Texas L P is a Community/Retail Pharmacy based in Shenandoah, TX and is specialized in Community/Retail Pharmacy. Kroger Texas L P practices in Fort Worth, TX. The NPI Number for Kroger Texas L P is 1982777504 and holds a License No. (Texas).

The current practice location address for Kroger Texas L P is 1050 Bridgewood Dr, Fort Worth, TX and can be reached out via phone at 817-446-6673 and via fax at 817-446-4943.

Location: 1050 Bridgewood Dr, Fort Worth, TX, 77385-8778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982777504
Provider Name
Kroger Texas L P
Credential
Provider Entity Type
Organization
Address
1050 Bridgewood Dr, Fort Worth, TX, 77385-8778
Phone Number
817-446-6673
Fax Number
817-446-4943
Provider Enumeration Date
11/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
464651 05 TX
4596144 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1050 Bridgewood Dr
City
Fort Worth
State
Texas
Zip
76112-0802
Phone Number
817-446-6673
Fax Number
817-446-4943
person
Provider Business Mailing Address Details
Address
1050 Bridgewood Dr
City
Fort Worth
State
Texas
Zip
76112-0802
Phone Number
817-446-6673
Fax Number
817-446-4943
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
20314 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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