The Kroger Co
Pharmacy, Community/Retail Pharmacy in Columbus, OH. Organization (NPI-2).
NPI number1649604166
StatusActive
Last updated in NPPESJul 20, 2018
Details
- NPI
- 1649604166
- Entity type
- Organization (NPI-2)
- Legal business name
- The Kroger Co
- Organization subpart
- No
- Enumeration date
- Sep 3, 2013
- Last updated
- Jul 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 64000757A | IN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 022348200 | OH | |
| 333600000X | Pharmacy | OH1762 | KY | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | MO0560650 | WV | |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | 5315062714 | MI |
Other names
- Kroger Columbus Central Fill #019 (Doing Business As)
Practice location
2270 Rickenbacker Pkwy WColumbus, OH 43217
Phone 614-333-5017 · Fax 614-333-5029
Mailing address
Po Box 842772Boston, MA 02284-2772
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Jessie Warman
Manager Of Pharmacy Licensing
5137621019
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