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The Kroger Co
Community/Retail Pharmacy in Fayetteville, Georgia
NPI 1134153042

The Kroger Co is a Community/Retail Pharmacy based in Boston, GA and is specialized in Community/Retail Pharmacy. The Kroger Co practices in Fayetteville, GA. The NPI Number for The Kroger Co is 1134153042 and holds a License No. (Georgia).

The current practice location address for The Kroger Co is 805 Glynn St S, Fayetteville, GA and can be reached out via phone at 770-461-8266 and via fax at 770-716-7471.

Location: 805 Glynn St S, Fayetteville, GA, 02284-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134153042
Provider Name
The Kroger Co
Credential
Provider Entity Type
Organization
Address
805 Glynn St S, Fayetteville, GA, 02284-2772
Phone Number
770-461-8266
Fax Number
770-716-7471
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00812952A 05 GA
2020175 01 PK
institution
Provider Business Practice Location Address Details
Address
805 Glynn St S
City
Fayetteville
State
Georgia
Zip
30214-2000
Phone Number
770-461-8266
Fax Number
770-716-7471
person
Provider Business Mailing Address Details
Address
805 Glynn St S
City
Fayetteville
State
Georgia
Zip
30214-2000
Phone Number
770-461-8266
Fax Number
770-716-7471
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
8284 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
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