The Kroger Co

Community/Retail Pharmacy · Dacula, GA

Organization Active NPI

NPI number 1982908687

Practice location

505 Dacula Rd
Dacula, GA 30019-2125
Phone
(678) 407-8739
Fax
(678) 407-8741

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NPI record

NPI
1982908687
Entity type
Organization (Type 2)
Enumeration date
January 10, 2011
Last updated
December 21, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X PHRE009719 GA
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

Mailing address

PO Box 842772
Boston, MA 02284-2772
Phone
(513) 762-1019
Fax
(513) 762-1092

Authorized official

Name
Allison Bredestege
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1019

About The Kroger Co

The Kroger Co is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 505 Dacula Rd, Dacula, GA 30019-2125. The NPI number 1982908687 was assigned on January 10, 2011 and the record was last updated on December 21, 2017.

The Kroger Co lists a license in the registry: #PHRE009719 (GA) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Allison Bredestege, Manager of Pharmacy Licensing.

Frequently asked questions

What is the NPI number of The Kroger Co?

The NPI number is 1982908687.

What is the phone number of The Kroger Co?

The phone number listed for the practice location is (678) 407-8739.

Where is The Kroger Co located?

505 Dacula Rd, Dacula, GA 30019-2125.

What is the taxonomy code for The Kroger Co?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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