Organization · Type 2 NPI

Kroger Co of Michigan

Community/Retail Pharmacy · Flint, MI

NPI number 1346265022 Active

Practice location

2629 W Pierson Rd
Flint, MI 48504-6867

Call (810) 785-3406 Map

Fax (810) 785-4043

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	5301007128 (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 …

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NPI record

NPI: 1346265022
Entity type: Organization (Type 2)
Issued: Jul 13, 2006
Last updated: Jan 16, 2019
Status: Active

Other names

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Kroger Pharmacy dba Kessel · doing business as
Kroger Pharmacy dba Kessel · doing business as

Authorized official

Jessie Warman
Manager RX Licensing
(513) 762-1090

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346265022

Kroger Co of Michigan's National Provider Identifier is 1346265022, issued on Jul 13, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Flint, MI. The record was last updated on Jan 16, 2019.