Organization · Type 2 NPI

The Kroger Co

Community/Retail Pharmacy · Shreveport, LA

NPI number 1164595682 Active

Practice location

9155 Mansfield Rd
Shreveport, LA 71118-3122

Fax (318) 671-8359

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X3966RC (LA)

Community/Retail Pharmacy: 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 …

6 other providers at this address

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About NPI 1164595682

The Kroger Co's National Provider Identifier is 1164595682, issued on Nov 15, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Shreveport, LA. The record was last updated on Mar 15, 2018.