- Practice location
- 2200 E 12 Mile RD, Royal Oak, MI 48067-1504
- Phone
- 248-397-1530
- Fax
- 248-397-1532
- Last updated
- January 17, 2017
Kroger Co Of Michigan is a healthcare organization based in Royal Oak, MI. Kroger Co Of Michigan practices in Royal Oak, MI. The NPI Number for Kroger Co Of Michigan is 1750837670 and holds a License No. 5301011042 (MI). The current practice location address for Kroger Co Of Michigan is 2200 E 12 Mile RD, Royal Oak, MI 48067-1504 and can be reached out via phone at 248-397-1530 and via fax at 248-397-1532.
Provider Profile Details
- NPI Number
- 1750837670
- Provider Name
- Kroger Co Of Michigan
- Provider Entity Type
- Organization
- Address
- 2200 E 12 Mile RD, Royal Oak, MI 48067-1504
- Phone Number
- 248-397-1530
- Fax Number
- 248-397-1532
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Allison Bredestege · Manager Of Pharmacy Licensing · 513-762-1263
- Other Names
- Kroger Pharmacy #743 (Doing Business As)
- Provider Enumeration Date
- August 31, 2016
- Last Update Date
- January 17, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2200 E 12 Mile RD
Royal Oak, MI 48067-1504 - City
- Royal Oak
- State
- Michigan
- Zip
- 48067-1504
- Phone Number
- 248-397-1530
- Fax Number
- 248-397-1532
Provider Business Mailing Address Details
- Address
- Po Box 842772
Boston, MA 02284-2772 - City
- Boston
- State
- MA
- Zip
- 02284-2772
- Phone Number
- 513-762-1019
License Information
- Taxonomy (1)
- Pharmacy · 333600000X
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- 5301011042
- License State (3)
- MI
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Royal Oak, MI
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Frequently Asked Questions
What is the NPI number of Kroger Co Of Michigan?
The NPI number of Kroger Co Of Michigan is 1750837670. It was assigned on August 31, 2016 and is currently active in the NPPES registry.
What is the specialty of Kroger Co Of Michigan?
Kroger Co Of Michigan is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in MI under license number 5301011042.
Where does Kroger Co Of Michigan practice?
The practice location is 2200 E 12 Mile RD, Royal Oak, MI 48067-1504. The office can be reached at 248-397-1530 (phone) or 248-397-1532 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750837670 directly on the NPPES registry website.