Organization
THE KROGER CO
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1685 OLD PENDERGRASS RD, JEFFERSON, GA 30549-2705
(706) 387-7620
(706) 387-7622
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
9138
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016491
PK
—
Enumeration date
04/03/2007
Last updated
05/16/2016
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