Kroger Co of Michigan
NPI #1528092384 in Brownstown Twp, Michigan
Provider Information
- NPI Number
- 1528092384
- 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
- 20645 GIBRALTAR RD
- City
- Brownstown Twp
- State
- Michigan
- ZIP Code
- 48183-5087
- Phone
- (734) 675-0656
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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