Kroger Co of Michigan
Kroger Co of Michigan is a Durable Medical Equipment & Medical Supplies in St Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
22801 Harper AveSt Clair Shores, MI 48080
Phone: (586) 800-5190
Fax: (586) 800-5195
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 5301008647 (MI) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1154521060 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bill Shinton — Vice President Kroger Health · (513) 762-1090 |
| Other names | Kroger Pharmacy #749 |
| NPI enumerated | July 19, 2007 |
| Last updated in NPPES | June 14, 2021 |
| Certification date | June 14, 2021 |
| Mailing address | Po Box 842772, Boston, MA 02284-2772 |