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Organization

COSALUS HEALTH PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK W URBEN PHARM.D. (PRESIDENT)
(616) 481-9073
Entity
Organization

Contact information

Practice address
3031 POPLAR CREEK DR SE, SUITE 103, GRAND RAPIDS, MI 49512-5682
(616) 481-9073
(616) 975-7596
Mailing address
3031 POPLAR CREEK DR SE, SUITE 103, GRAND RAPIDS, MI 49512-5682
(616) 481-9073
(616) 975-7596

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302021538
MI

Other

Enumeration date
12/28/2012
Last updated
12/28/2012
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