# THE KROGER CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KROGER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912028267
- **Authorized official:** ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1019

## Contact information

- **Practice address:** 1685 OLD PENDERGRASS RD, JEFFERSON, GA 30549-2705
- **Practice address phone:** (706) 387-7620
- **Practice address fax:** (706) 387-7622
- **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 | 9138 | GA | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 05/16/2016