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Organization
THE KROGER CO
Active
Organization
THE KROGER CO
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NICOLE WILLIAMS (MANAGER OF LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
1401 S GILMER AVE, LANETT, AL 36863-2942
(334) 642-6888
(833) 874-1857
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
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
105933
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001826KR
—
AL
05
—
00839627A
—
GA
01
—
1990849
PK
—
Enumeration date
07/10/2006
Last updated
04/21/2025
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