KROGER TEXAS L P
Medical Equipment Supplier Yellow Pages
Bryan, Texas
Provider NPI: 1821161357
Organization Information:Organization Name: KROGER TEXAS L P
Practice Location:
2303 BOONVILLE RD BRYAN, TX 77808 US
Tel: 979-774-8377 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2303 BOONVILLE RD BRYAN, TX 77808 US
Tel: 979-774-8377 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
Y | 3336C0003X | Suppliers Pharmacy | TX | 20285 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2102717 | 01 | |
464658 | TX | 05 | |
1247502 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin