| NPI | 1003152752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK W URBEN President 616-481-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302021538) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |