Organization · Type 2 NPI

Kroger Co of Michigan

Community/Retail Pharmacy · Westland, MI

NPI number 1619498086 Active

Practice location

7350 N Middlebelt Rd
Westland, MI 48185-2502

Call (734) 793-1050 Map

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

4 other providers at this address

Other community/retail pharmacy providers in Westland

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NPI record

NPI: 1619498086
Entity type: Organization (Type 2)
Issued: Jul 6, 2017
Last updated: Jul 6, 2017
Status: Active

Other names

<unavail>
Kroger Pharmacy #459 · doing business as
Kroger Pharmacy #459 · doing business as

Authorized official

Allison Bredestege
Manager of Pharmacy Licensing
(513) 762-1019

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 1619498086

Kroger Co of Michigan's National Provider Identifier is 1619498086, issued on Jul 6, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Westland, MI. The record was last updated on Jul 6, 2017.