Organization
THE KROGER CO
Active
Other names
THE KROGER COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
2460 ENTERPRISE DR, OPELIKA, AL 36801-1510
(334) 737-2650
(334) 737-2652
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112958
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039191
—
AL
01
—
1996028
PK
—
Enumeration date
06/21/2007
Last updated
09/23/2016
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