Organization

The Kroger Co

May also be knows as Kroger Pharmacy

Community/Retail Pharmacy in Worthington, OH(View on Map)

Legal Business Name

The Kroger Co

Also Known As

Kroger Pharmacy

NPI Number

1841224649

NPI Type

Organization

Enumeration Date

07/10/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Ohio

License Number

020675350

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 842772
1425 WORTHINGTON CENTRE DR

City

Boston
Worthington

State

MA
OH

Postal Code

02284-2772
43085-4921

Country

US
US

Telephone Number

(513) 762-1019
(614) 841-7412

Authorized Official

Name

Jessie Warman

Title or Position

MANAGER PHARMACY LICENSING

Telephone Number

(513) 762-1090

Identifiers

Identifier

2072227
0849014

Identifier State

Unknown
OH

Identifier Issuer

PK
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/06/2020

Provider Address

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