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The Kroger Co

Pharmacy, Community/Retail Pharmacy in Columbus, OH. Organization (NPI-2).

NPI number1104841816
StatusActive
Last updated in NPPESFeb 6, 2020

Details

NPI
1104841816
Entity type
Organization (NPI-2)
Legal business name
The Kroger Co
Organization subpart
No
Enumeration date
Jul 13, 2006
Certification date
Feb 6, 2020
Last updated
Feb 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy021063300OHYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Kroger Pharmacy (Doing Business As)

Practice location

1441 Parsons Ave
Columbus, OH 43207-1247

Phone 614-445-5734 · Fax 614-445-5732

Mailing address

Po Box 842772
Boston, MA 02284-2772

Phone 513-762-1019 · Fax 513-762-1092

Authorized official

Jessie Warman
Manager Pharmacy Licensing
5137621090

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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