NPI 1003152752

Cosalus Health PLLC

Organisation Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Grand Rapids, MI

Practice location

Address: 3031 Poplar Creek Dr SE Suite 103, Grand Rapids, MI 49512-5682
Phone: (616) 481-9073
Fax: (616) 975-7596

Authorised official

Name: Jack W Urben
Title: President
Phone: (616) 481-9073

Registered specialties

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary

Pharmacy Service Providers Taxonomy 1835P0018X Licence 5302021538 (MI)

Other Pharmacist providers in Michigan →

Registry record

NPI: 1003152752
Entity type: Organization
NPI issued: 28 Dec 2012
Record last updated: 28 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.