Kroger Co of Michigan
NPI #1467486217 in South Lyon, Michigan
Provider Information
- NPI Number
- 1467486217
- Entity Type
- Organization
- Organization Name
- Kroger Co of Michigan
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jan 16, 2019
Practice Location
- Address
- 20730 PONTIAC TRL
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-9486
- Phone
- (248) 486-9182
Authorized Official
- Name
- JESSIE WARMAN
- Title
- MANAGER RX LICENSING
- Phone
- (513) 762-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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