Organization
KROGER CO
Active
Organization
KROGER CO
Active
Other names
The Kroger Co. KS113
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1220 S LIPAN ST, DENVER, CO 80223-3069
(303) 778-3398
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0829
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131461
PK
—
05
—
63208008
—
CO
Enumeration date
08/24/2011
Last updated
05/16/2016
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