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Organization
THE KROGER CO
Active
Organization
THE KROGER CO
Active
Other names
THE KROGER COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
2460 ENTERPRISE DR, OPELIKA, AL 36801-1510
(334) 737-2650
(334) 737-2652
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
112958
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039191
—
AL
01
—
1996028
PK
—
Enumeration date
06/21/2007
Last updated
09/23/2016
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