# THE KROGER CO

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

## Provider details

- **NPI number:** 1508019472
- **Authorized official:** ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1019

## Contact information

- **Practice address:** 6766 HICKORY FLAT HWY, CANTON, GA 30115-9224
- **Practice address phone:** (770) 721-7310
- **Practice address fax:** (770) 721-7315
- **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 | PHRE009513 | GA | Yes |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 05/16/2016