Kroger Pharmacy

LBN: Kroger Co Of Michigan
Kroger Pharmacy is an health care organization with primary practice located at 30851 Gratiot Ave , Roseville MI 48066-1769. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kroger Co Of Michigan can be contacted via phone (586) 541-3314, or through Warman, Jessie via phone (513) 762-1090.

Contact Information

Primary practice address
30851 Gratiot Ave Roseville MI 48066-1769
Phone: (586) 541-3314
Fax: (586) 541-3320
Website:
Map and Directions
Authorized official contact:
Name: Warman, Jessie
Phone: (513) 762-1090

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008656 Michigan

Profile Details

NPI number 1902096001
LBN Legal business name Kroger Co Of Michigan
DBA Doing business as Kroger Pharmacy
Authorized official Warman, Jessie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jan 25th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902096001 NPPES
Michigan MEDICAID 2369925
Michigan Other 2042692

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