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Kroger Co Of Michigan

Kroger Co Of Michigan is a health care provider in Boston, MA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 531 W Main St, Milan, MI 48160-9559, US
Practice Location Phone734-439-6856
Practice Location Fax734-439-6864
Legal Business NameKROGER CO OF MICHIGAN
Other Organization NameKROGER PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1922032796
Entity TypeOrganization
Enumeration Date ? Jul 10, 2006
Last Update Date ? Jan 16, 2019
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Kroger Co Of Michigan

SpecialtySpecializationLicenseLicense State
Pharmacy
Durable Medical Equipment & Medical Supplies
PharmacyCommunity/Retail Pharmacy 530100736Michigan

legacy-id-icon Legacy Provider IDs of Kroger Co Of Michigan

Provider IdIssuer StateIssuer TypeIssuer
2046483OtherPK
2364975MichiganMedicaid

official-icon Authorized Official of Kroger Co Of Michigan

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kroger Co Of Michigan's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Jessie Warman
Authorized Official Title/PositionMANAGER RX LICENSING
Authorized Official Phone Number513-762-1090