Kroger Co Of Michigan in Port Huron - Community/retail Pharmacy
Kroger Co Of Michigan - NPI 1255356952
Kroger Co Of Michigan is a Community/retail Pharmacy in Port Huron, Michigan. Kroger Co Of Michigan practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Kroger Co Of Michigan is 1255356952. The last update date is 2019-01-25.
Kroger Co Of Michigan's current location address is 1215 24th St, Port Huron, Michigan. You can contact this provider via phone number 8109877155 and fax number 8109874017. The mailing address for Kroger Co Of Michigan is 1215 24th St, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kroger Co Of Michigan |
|---|---|
| Address | 1215 24th St, Port Huron, Michigan |
| Phone Number | 8109877155 |
| Fax Number | 8109874017 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER RX |
|---|---|
| Authorized Official Name | Warman Jessie |
| Telephone Number | 5137621090 |
NPI Number Detail
| NPI Number | 1255356952 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2019-01-25 |
Provider Mailing Address Detail
| Address | 1215 24th St |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480604812 |
| Phone Number | 8109877155 |
| Fax Number | 8109874017 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5301007818 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2046568 | PK | ||
| 2365434 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kroger Co Of Michigan by the Centers for Medicare & Medicaid Services?
The Kroger Co Of Michigan has been assigned the NPI (National Provider Identifier) 1255356952 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kroger Co Of Michigan's facilities are geographically located?
The facilities of Kroger Co Of Michigan are physically situated at the following location: 1215 24Th St, Port Huron, MI, 480604812.
What is Kroger Co Of Michigan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kroger Co Of Michigan's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.
On what date did the Kroger Co Of Michigan receive its 1255356952 assignment from the Centers for Medicare & Medicaid Services?
The Kroger Co Of Michigan was assigned its 1255356952 by the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the details pertaining to Kroger Co Of Michigan last refreshed?
The information related to the Kroger Co Of Michigan, including its address, specialty, and other relevant details, was last updated on 2019-01-25.
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