Individual
DR. JACK W. URBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3031 POPLAR CREEK DR SE, UNIT 103, KENTWOOD, MI 49512-5667
(616) 949-9573
(616) 975-7596
Mailing address
3031 POPLAR CREEK DR SE, UNIT 103, KENTWOOD, MI 49512-5667
(616) 949-9573
(616) 975-7596
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302021538
MI
Other
Enumeration date
06/26/2005
Last updated
07/08/2007
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