Organization
KROGER CO OF MICHIGAN
Active
Other names
Kroger Pharmacy #459
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
7350 N MIDDLEBELT RD, WESTLAND, MI 48185-2502
(734) 793-1050
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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