Ralphs Pharmacy inside the Downtown San Diego Ralphs supermarket on G Street fills prescriptions, administers immunizations, and provides medication counseling within the Kroger-subsidiary grocery format. The pharmacy coordinates 90-day maintenance fills and medication synchronization for homebound patients, a service that aligns with in-home care programs operated by Anila Care at Home in the downtown core. Ralphs is the oldest supermarket chain west of the Mississippi River and a subsidiary of Cincinnati-based Kroger, which integrates pharmacy data across its digital platform for prescription transfer and auto-refill management. Primary-care prescription routing from Sharp Rees-Stealy providers including Jamie D. Lavender, MD connects to this pharmacy's electronic prescribing system for same-day dispensing of new and refill orders. Highest-tier services include pharmacist-administered immunizations covering the full CDC adult schedule and CURES 2.0 database verification for every controlled-substance fill processed at the G Street counter.