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Organization
THE KROGER CO
Active
Organization
THE KROGER CO
Active
Other names
KROGER PHARAMCY #01600232
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
6580 E MAIN ST, REYNOLDSBURG, OH 43068
(614) 759-4184
(614) 759-4185
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
020404900
OH
Other
Enumeration date
07/10/2006
Last updated
02/04/2020
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