Healthcare Provider Details

I. General information

NPI: 1225058449
Provider Name (Legal Business Name): KINGSLEY PHARMACEUTICALS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 S BROWNSON AVE
KINGSLEY MI
49649-0367
US

IV. Provider business mailing address

118 S. BROWNSON AVE
KINGSLEY MI
49649-0367
US

V. Phone/Fax

Practice location:
  • Phone: 800-662-8572
  • Fax: 231-263-7925
Mailing address:
  • Phone: 800-662-8572
  • Fax: 231-263-7925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5301006778
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5301006778
License Number StateMI

VIII. Authorized Official

Name: MICHAEL ZALESKI
Title or Position: PRESIDENT/PHARMACIST
Credential: R.PH.
Phone: 800-662-8572