# THE KROGER CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kroger Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093029183
- **Authorized official:** JESSICA WARMAN (MANAGER OF RX LICENSING)
- **Authorized official phone:** (513) 762-1263

## Contact information

- **Practice address:** 6001 HWY 20, SUGAR HILL, GA 30518
- **Practice address phone:** (678) 546-4113
- **Practice address fax:** (678) 546-4119
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772
- **Mailing address phone:** (513) 762-1019
- **Mailing address fax:** (513) 762-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009671 | GA | Yes |

## Other

- **Enumeration date:** 07/30/2010
- **Last updated:** 06/25/2018