Organization
THE KROGER CO
Active
Other names
Centralized Clinical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
9997 CARVER RD, BLUE ASH, OH 45242-5537
(513) 867-5067
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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