Organization
THE KROGER CO
Active
Other names
KROGER PHARMACY #01100703
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
27 DISCOVERY DR, BLUFFTON, SC 22901
(999) 999-9999
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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