Organization
KINGSLEY PHARMACY AND COMPOUNDING CENTER INC
Active
Other names
Kingsley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN REUTHER (PRESIDENT)
(231) 263-7701
Entity
Organization
Contact information
Practice address
114 S BROWNSON AVE, KINGSLEY, MI 49649-5103
(231) 263-7701
(231) 263-7925
Mailing address
PO BOX 247, KINGSLEY, MI 49649-0247
(231) 263-7701
(231) 263-7925
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152347
PK
—
Enumeration date
07/20/2006
Last updated
12/21/2016
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