Kroger Co of Michigan
NPI #1457551384 in Washington, Michigan
Provider Information
- NPI Number
- 1457551384
- Entity Type
- Organization
- Organization Name
- Kroger Co of Michigan
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 19, 2007
- Last Updated
- Jan 25, 2019
Practice Location
- Address
- 64660 VAN DYKE RD
- City
- Washington
- State
- Michigan
- ZIP Code
- 48095-2853
- Phone
- (586) 540-8004
Authorized Official
- Name
- JESSIE WARMAN
- Title
- MANAGER RX LICENSING
- Phone
- (513) 762-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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