Kroger Co Of Michigan in Holt - Community/retail Pharmacy
Kroger Co Of Michigan - NPI 1497789267
Kroger Co Of Michigan is a Community/retail Pharmacy in Holt, 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 1497789267. The last update date is 2019-01-16.
Kroger Co Of Michigan's current location address is 2495 Cedar St, Holt, Michigan. You can contact this provider via phone number 5176948412 and fax number 5176944675. The mailing address for Kroger Co Of Michigan is 2495 Cedar St, Holt, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kroger Co Of Michigan |
|---|---|
| Address | 2495 Cedar St, Holt, Michigan |
| Phone Number | 5176948412 |
| Fax Number | 5176944675 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER RX |
|---|---|
| Authorized Official Name | Warman Jessie |
| Telephone Number | 5137621090 |
NPI Number Detail
| NPI Number | 1497789267 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2019-01-16 |
Provider Mailing Address Detail
| Address | 2495 Cedar St |
|---|---|
| City | Holt |
| State | Michigan (MI) |
| Post Code | 488427400 |
| Phone Number | 5176948412 |
| Fax Number | 5176944675 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5301007548 |
|
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 |
|---|---|---|---|
| 2046049 | PK | ||
| 2363733 | MI | -- |
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What is the unique 10-digit identification 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) 1497789267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kroger Co Of Michigan is physically located?
The Kroger Co Of Michigan is situated at the following address: 2495 Cedar St, Holt, MI 488427400.
What is Kroger Co Of Michigan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kroger Co Of Michigan is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
On what date did the Kroger Co Of Michigan receive the assignment of its 1497789267 from the Centers for Medicare & Medicaid Services?
The Kroger Co Of Michigan was issued its 1497789267 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the Kroger Co Of Michigan's details last updated?
The information pertaining to the Kroger Co Of Michigan, including its address, specialty, and other details, was most recently updated on 2019-01-16.
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