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Kroger Co Of Michigan

Pharmacy, Community/Retail Pharmacy in Rochester Hills, MI. Organization (NPI-2).

NPI number1366476129
StatusActive
Last updated in NPPESJan 16, 2019

Details

NPI
1366476129
Entity type
Organization (NPI-2)
Legal business name
Kroger Co Of Michigan
Organization subpart
No
Enumeration date
Jul 10, 2006
Last updated
Jan 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy5301005249MIYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Kroger Pharmacy (Doing Business As)

Practice location

65 S Livernois Rd
Rochester Hills, MI 48307-6901

Phone 248-652-4750 · Fax 248-652-1961

Mailing address

Po Box 842772
Boston, MA 02284-2772

Phone 513-762-1090

Authorized official

Jessie Warman
Manager Rx Licensing
5137621090

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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