Organization Name: | THE KROGER CO OF MICHIGAN |
NPI Number: | 1861684821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
Mailing Address: | 2105 South Blvd W Troy |
State: | MI US |
Postal Code: | 480986539 |
Phone Number: | 2485371011 |
Fax Number: | 2485371013 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |