Organization
THE KROGER CO
Active
Other names
Kroger Pharmacy #531
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WARMAN (MANAGER RX LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
8730 WATERVILLE SWANTON RD, WATERVILLE, OH 43566
(419) 878-1040
(419) 878-1042
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
022073800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126605
PK
—
05
—
3095994
—
OH
Enumeration date
09/22/2010
Last updated
02/05/2020
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