Organization
KROGER CO
Active
Other names
KROGER PHARMACY #619
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1524 GEORGIA HIGHWAY 16 W, GRIFFIN, GA 30223-2046
(770) 229-7430
Mailing address
P.O. BOX 842772, BOSTON, MA 02284
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129888A
—
GA
01
—
2137594
PK
—
Enumeration date
10/25/2012
Last updated
09/19/2025
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