# THE KROGER CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centralized Clinical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447763123
- **Authorized official:** ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1019

## Contact information

- **Practice address:** 9997 CARVER RD, BLUE ASH, OH 45242-5537
- **Practice address phone:** (513) 867-5067
- **Mailing address:** 1014 VINE ST, CINCINNATI, OH 45202-1141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2017
- **Last updated:** 11/16/2017