Organization
THE KROGER CO
Active
Other names
KROGER PHARMACY #644
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
435 LEWISTON RD, GROVETOWN, GA 30813
(770) 496-5332
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010302
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160509
PK
—
Enumeration date
06/03/2016
Last updated
07/20/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us