Organization · Type 2 NPI

The Kroger Co

Community/Retail Pharmacy · Grovetown, GA

NPI number 1710335443 Active

Practice location

435 Lewiston Rd
Grovetown, GA 30813

Call (770) 496-5332 Map

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHRE010302 (GA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

6 other providers at this address

Other community/retail pharmacy providers in Grovetown

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NPI record

NPI: 1710335443
Entity type: Organization (Type 2)
Issued: Jun 3, 2016
Last updated: Jul 20, 2018
Status: Active

Other names

<unavail>
Kroger Pharmacy #644 · doing business as
Kroger Pharmacy #644 · doing business as

Authorized official

Jessie Warman
Manager of Pharmacy Licensing
(513) 762-1263

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710335443

The Kroger Co's National Provider Identifier is 1710335443, issued on Jun 3, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Grovetown, GA. The record was last updated on Jul 20, 2018.