Organization
THE KROGER CO
Active
Other names
Kroger Pharmacy Great Lakes Division
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL MARK WOOLF RPH (DIRECTOR OF PHARMACY)
(513) 762-4672
Entity
Organization
Contact information
Practice address
2700 E 4TH AVE, HUTCHINSON, KS 67501-1903
(866) 680-5133
(620) 669-1898
Mailing address
PO BOX 305237, KROGER PHARMACY GREAT LAKES, NASHVILLE, TN 37230-5237
(866) 680-5133
(620) 669-1898
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00246579
RAILROAD WORKERS
—
Enumeration date
02/15/2007
Last updated
03/12/2008
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