Organization
THE KROGER CO
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER WILLIAMS (MANAGER OF PHARMACY LICENSING)
(513) 387-8725
Entity
Organization
Contact information
Practice address
7380 SPOUT SPRINGS RD, FLOWERY BRANCH, GA 30542-7541
(770) 965-5644
(770) 965-5632
Mailing address
PO BOX 830242, PHILADELPHIA, PA 19182-0242
(513) 387-8725
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8734
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015407
PK
—
05
—
253387914B
—
GA
Enumeration date
07/10/2006
Last updated
02/26/2025
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