Organization
THE KROGER CO
Active
Other names
Kroger Pharmacy #686
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NICOLE WILLIAMS (LICENSING MANAGER)
(513) 762-1090
Entity
Organization
Contact information
Practice address
175 PEACHTREE EXCHANGE BLVD, HOSCHTON, GA 30548-2513
(513) 762-1090
Mailing address
1014 VINE ST FL 21, CINCINNATI, OH 45202-1141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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