Organization · Type 2 NPI

Kroger Co of Michigan

Community/Retail Pharmacy · Grand Blanc, MI

NPI number 1477587236 Active

Practice location

12731 S Saginaw St
Grand Blanc, MI 48439-1830

Call (810) 695-6384 Map

Fax (810) 695-2944

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	5301007124 (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 …

8 other providers at this address

Other community/retail pharmacy providers in Grand Blanc

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NPI record

NPI: 1477587236
Entity type: Organization (Type 2)
Issued: Jul 10, 2006
Last updated: Jan 25, 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 1477587236

Kroger Co of Michigan's National Provider Identifier is 1477587236, issued on Jul 10, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Grand Blanc, MI. The record was last updated on Jan 25, 2019.