Organization · Type 2 NPI

Kroger Co of Michigan

Community/Retail Pharmacy · Roseville, MI

NPI number 1013386986 Active

Practice location

20891 E 13 Mile Rd
Roseville, MI 48066-4530

Call (586) 298-3855 Map

Fax (586) 298-3857

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Community/Retail Pharmacy Primary 3336C0003X5301010765 (MI)

Community/Retail Pharmacy: 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 …

5 other providers at this address

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About NPI 1013386986

Kroger Co of Michigan's National Provider Identifier is 1013386986, issued on Sep 21, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Roseville, MI. The record was last updated on Sep 19, 2025.