# THE KROGER CO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699272765
- **Authorized official:** JESSIE WARMAN (MANAGER OF LICENSING)
- **Authorized official phone:** (513) 762-1263

## Contact information

- **Practice address:** 5550 BETHELVIEW RD, CUMMING, GA 30040
- **Practice address phone:** (678) 456-4054
- **Practice address fax:** (678) 456-4058
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772
- **Mailing address phone:** (513) 762-1019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2018
- **Last updated:** 07/27/2018