# THE KROGER CO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053142042
- **Authorized official:** AMBER NICOLE WILLIAMS (LICENSING MANAGER)
- **Authorized official phone:** (513) 762-1090

## Contact information

- **Practice address:** 12116 SYCAMORE TRCE, PLAIN CITY, OH 43064-4400
- **Practice address phone:** (614) 504-4125
- **Practice address fax:** (614) 504-0669
- **Mailing address:** PO BOX 830242, PHILADELPHIA, PA 19182-0352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2024
- **Last updated:** 08/12/2024