Organization
KROGER CO OF MICHIGAN
Active
Other names
KROGER CO OF MICHIGAN #751
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
26200 GREENFIELD RD, OAK PARK, MI 48237-1051
(248) 721-4577
Mailing address
PO BOX 2918, HUTCHINSON, KS 67504-2918
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
06/08/2021
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