Whalio Doctors

NPI 1003840851

Kroger Co of Michigan

Organisation Community/Retail Pharmacy Waterford, MI

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
Suppliers Taxonomy 3336C0003X Licence 5301007041 (MI)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

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.