Kroger Co Of Michigan in Boston - Community/retail Pharmacy
Kroger Co Of Michigan - NPI 1609076520
Kroger Co Of Michigan is a Community/retail Pharmacy in Boston, Massachusetts. 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 1609076520. The last update date is 2019-01-16.
Kroger Co Of Michigan's current location address is Po Box 842772, Boston, Massachusetts. You can contact this provider via phone number 5137621090. The mailing address for Kroger Co Of Michigan is Po Box 842772, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kroger Co Of Michigan |
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Address | Po Box 842772, Boston, Massachusetts |
Phone Number | 5137621090 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER RX |
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Authorized Official Name | Warman Jessie |
Telephone Number | 5137621090 |
NPI Number Detail
NPI Number | 1609076520 |
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Provider Enumeration Date | 2007-07-19 |
Last Updated Date | 2019-01-16 |
Provider Mailing Address Detail
Address | Po Box 842772 |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 22842772 |
Phone Number | 5137621090 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | 5301008652 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2042701 | PK | ||
2370017 | MI | -- |
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What is the unique 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) 1609076520. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kroger Co Of Michigan located?
The Kroger Co Of Michigan is located at Po Box 842772, Boston, MA 22842772.
What is Kroger Co Of Michigan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kroger Co Of Michigan is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609076520 to Kroger Co Of Michigan?
The Centers for Medicare & Medicaid Services originally issued the 1609076520 to Kroger Co Of Michigan on 2007-07-19.
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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