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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