The Kroger Co

NPI #1982908687 in Dacula, Georgia

Provider Information

NPI Number
1982908687
Entity Type
Organization
Organization Name
The Kroger Co
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 10, 2011
Last Updated
Dec 21, 2017

Practice Location

Address
505 DACULA RD
City
Dacula
State
Georgia
ZIP Code
30019-2125
Phone
(678) 407-8739

Authorized Official

Name
ALLISON BREDESTEGE
Title
MANAGER OF PHARMACY LICENSING
Phone
(513) 762-1019

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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