Organization · Type 2 NPI

Kingsley Pharmacy and Compounding Center

Long Term Care Pharmacy · Kingsley, MI

NPI number 1073151031 Active

Practice location

114 S Brownson Ave
Kingsley, MI 49649-5103

Call (231) 263-7701 Map

Fax (231) 263-7925

Mailing address

PO Box 247
Kingsley, MI 49649-0247

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Another provider at this address

Kingsley Pharmacy and Compounding Center IncCommunity/Retail Pharmacy Kingsley, MI NPI 1578583175

NPI record

NPI: 1073151031
Entity type: Organization (Type 2)
Issued: Dec 20, 2019
Last updated: Dec 20, 2019
Status: Active
Subpart: Yes of Kingsley Pharmacy and Compounding Center

Other names

Kingsley Pharmacy LTC · doing business as

Authorized official

Mr. Brian William Reuther, RPH
President/rph
(231) 263-7701

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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 1073151031

Kingsley Pharmacy and Compounding Center's National Provider Identifier is 1073151031, issued on Dec 20, 2019. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Kingsley, MI. The record was last updated on Dec 20, 2019.