Organization
KROGER CO
Active
Other names
Kroger Health Connect
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ANDREWS (MANAGER OF PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
11300 CORNELL PARK DR, 5TH FLOOR, BLUE ASH, OH 45242
(513) 737-1060
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
(513) 762-1090
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022221850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143868
PK
—
Enumeration date
01/16/2014
Last updated
11/02/2021
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