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Organization
THE KROGER CO
Active
Organization
THE KROGER CO
Active
Other names
Centralized Clinical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
9997 CARVER RD, BLUE ASH, OH 45242-5537
(513) 867-5067
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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