# THE KROGER CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KROGER PHARMACY \#01100703
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922566017
- **Authorized official:** JESSIE WARMAN (MANAGER OF LICENSING)
- **Authorized official phone:** (513) 762-1090

## Contact information

- **Practice address:** 27 DISCOVERY DR, BLUFFTON, SC 22901
- **Practice address phone:** (999) 999-9999
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2019
- **Last updated:** 03/07/2019