Whalio Doctors

NPI 1356375182

The Kroger Co

Organisation Community/Retail Pharmacy Stockbridge, GA

Practice location

Address
3618 Highway 138 SE, Stockbridge, GA 30281-4171
Phone
(770) 474-5309
Fax
(770) 389-9675
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
Suppliers Taxonomy 3336C0003X Licence 7341 (GA)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1356375182
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.