Organization
THE KROGER CO
Active
Other names
KROGER DRUGSTORE #685
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
3559 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4409
(770) 243-6211
(770) 243-6224
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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