Kroger Co Of Michigan in Roseville - Community/retail Pharmacy
Kroger Co Of Michigan - NPI 1710911573
Kroger Co Of Michigan is a Community/retail Pharmacy in Roseville, 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 1710911573. The last update date is 2019-01-25.
Kroger Co Of Michigan's current location address is 26130 Gratiot Ave, Roseville, Michigan. You can contact this provider via phone number 5867768966 and fax number 5867768583. The mailing address for Kroger Co Of Michigan is 26130 Gratiot Ave, Roseville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kroger Co Of Michigan |
|---|---|
| Address | 26130 Gratiot Ave, Roseville, Michigan |
| Phone Number | 5867768966 |
| Fax Number | 5867768583 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER RX |
|---|---|
| Authorized Official Name | Warman Jessie |
| Telephone Number | 5137621090 |
NPI Number Detail
| NPI Number | 1710911573 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2019-01-25 |
Provider Mailing Address Detail
| Address | 26130 Gratiot Ave |
|---|---|
| City | Roseville |
| State | Michigan (MI) |
| Post Code | 480665111 |
| Phone Number | 5867768966 |
| Fax Number | 5867768583 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5301005449 |
|
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 |
|---|---|---|---|
| 2041032 | PK | ||
| 2675380 | MI | -- |
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What is the Kroger Co Of Michigan's 1710911573?
The Kroger Co Of Michigan's NPI (National Provider Identifier) Number is 1710911573. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kroger Co Of Michigan located?
The Kroger Co Of Michigan is located at 26130 Gratiot Ave, Roseville, MI 480665111.
What is Kroger Co Of Michigan's area of expertise and its corresponding taxonomy classification?
The Kroger Co Of Michigan's field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1710911573 assigned to Kroger Co Of Michigan?
The Kroger Co Of Michigan was issued its 1710911573 on 2006-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kroger Co Of Michigan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kroger Co Of Michigan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-01-25.
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