# THE KROGER CO

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

## Provider details

- **NPI number:** 1699928804
- **Authorized official:** JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1019

## Contact information

- **Practice address:** 131 STATE ROUTE 3, SUNBURY, OH 43074
- **Practice address phone:** (740) 965-0520
- **Practice address fax:** (740) 965-0522
- **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 |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 021912950 | OH | Yes |

## Other

- **Enumeration date:** 10/31/2008
- **Last updated:** 02/06/2020