NPI 1003840851
Kroger Co of Michigan
Practice location
- Address
- 5111 Highland Rd, Waterford, MI 48327-1915
- Phone
- (248) 673-4324
- Fax
- (810) 673-7318
- Mailing address
- PO Box 842772, Boston, MA 02284-2772
Authorised official
- Name
- Jessie Warman
- Title
- Manager Rx Licensing
- Phone
- (513) 762-1090
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1003840851
- Entity type
- Organization
- NPI issued
- 10 Jul 2006
- Record last updated
- 25 Jan 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.