Kroger Co of Michigan

Practice location

Address

20730 Pontiac Trl, South Lyon, MI 48178-9486

Phone

(248) 486-9182

Fax

(248) 486-9127

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)

Registry record

NPI

1467486217

Entity type

Organization

NPI issued

10 Jul 2006

Record last updated

16 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.