Kroger Pharmacy
LBN: Kroger Co Of Michigan
Kroger Pharmacy is an health care organization with primary practice located at 19855 W 12 Mile Rd , Southfield MI 48076-2561. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kroger Co Of Michigan can be contacted via phone (248) 559-0801, or through Warman, Jessie via phone (513) 762-1090.
Contact Information
Primary practice address
19855 W 12 Mile Rd
Southfield MI 48076-2561
Phone: (248) 559-0801
Fax: (248) 559-0804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301007015 | Michigan |
Profile Details
| NPI number | 1932133782 |
|---|---|
| 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 10th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932133782 | NPPES |
| Michigan | MEDICAID | 4098659 | |
| Michigan | Other | 2044473 |
Popular Providers
-
Woodward Detroit Cvs, L.L.C.
26026 W 12 Mile Rd , Southfield MI 48034-1783 -
Woodward Detroit Cvs, L.L.C.
30920 Southfield Rd , Southfield MI 48076-7738 -
Richardson Medical Pharmacy, Inc.
29800 Southfield Rd , Southfield MI 48076-2037 -
Meijer Inc
28800 Telegraph Rd , Southfield MI 48034-1950 -
C P L Enterprises Inc
27159 Greenfield Rd , Southfield MI 48076-5135 -
Target Corporation
21500 Northwestern Hwy , Southfield MI 48075-5018 -
Woodward Detroit Cvs, L.L.C.
18130 W 10 Mile Rd , Southfield MI 48075-2630 -
Pharmap Llc
15600 W 10 Mile Rd Unit 1B, Southfield MI 48075-2147