Organization
THE KROGER CO
Active
Other names
KROGER PHARMACY #671
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
42 SHELTER COVE LN, HILTON HEAD ISLAND, SC 29928-3543
(843) 842-0550
(843) 842-0556
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14948
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141213
PK
—
05
—
714948
—
SC
Enumeration date
07/16/2013
Last updated
09/19/2025
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