Organization
THE KROGER CO
Active
Other names
THE KROGER CO
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
4025 WINDER HWY, FLOWERY BRANCH, GA 30542-3022
(770) 539-5031
(770) 539-5040
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
009481
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017715
PK
—
Enumeration date
07/17/2008
Last updated
05/16/2016
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