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Kroger Co Of Michigan
Community/Retail Pharmacy in Southgate, Michigan
NPI 1356375109

Kroger Co Of Michigan is a Community/Retail Pharmacy based in Boston, MI and is specialized in Community/Retail Pharmacy. Kroger Co Of Michigan practices in Southgate, MI. The NPI Number for Kroger Co Of Michigan is 1356375109 and holds a License No. (Michigan).

The current practice location address for Kroger Co Of Michigan is 16705 Fort St, Southgate, MI and can be reached out via phone at 734-324-7966 and via fax at 734-324-7970.

Location: 16705 Fort St, Southgate, MI, 02284-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356375109
Provider Name
Kroger Co Of Michigan
Credential
Provider Entity Type
Organization
Address
16705 Fort St, Southgate, MI, 02284-2772
Phone Number
734-324-7966
Fax Number
734-324-7970
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2362565 05 MI
2045505 01 PK
institution
Provider Business Practice Location Address Details
Address
16705 Fort St
City
Southgate
State
Michigan
Zip
48195-1442
Phone Number
734-324-7966
Fax Number
734-324-7970
person
Provider Business Mailing Address Details
Address
16705 Fort St
City
Southgate
State
Michigan
Zip
48195-1442
Phone Number
734-324-7966
Fax Number
734-324-7970
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
5301007373 (Michigan)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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