NPI 1134153042
The Kroger Co
Practice location
- Address
- 805 Glynn St S STE 117, Fayetteville, GA 30214-2000
- Phone
- (770) 461-8266
- Fax
- (770) 716-7471
- Mailing address
- PO Box 842772, Boston, MA 02284-2772
Authorised official
- Name
- Allison Muennich
- Title
- Manager of Pharmacy Licensing
- Phone
- (513) 762-1019
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1134153042
- Entity type
- Organization
- NPI issued
- 10 Jul 2006
- Record last updated
- 16 May 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.