Organization
KROGER CO OF MICHIGAN
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
540 S MAIN ST, LAPEER, MI 48446-2467
(810) 664-0391
(810) 664-7079
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041136
PK
—
05
—
2711772
—
MI
Enumeration date
07/10/2006
Last updated
01/16/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us