The Kroger Co
Pharmacy, Community/Retail Pharmacy in Stone Mt, GA. Organization (NPI-2).
NPI number1528092228
StatusActive
Last updated in NPPESMay 18, 2016
Details
- NPI
- 1528092228
- Entity type
- Organization (NPI-2)
- Legal business name
- The Kroger Co
- Organization subpart
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- May 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 6626 | GA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Kroger Pharmacy (Doing Business As)
Practice location
1232 South Hairst0n RdStone Mt, GA 30088
Phone 404-292-5542 · Fax 404-297-4223
Mailing address
Po Box 842772Boston, MA 02284-2772
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
5137621019
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