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Cory Jon Driesenga, RPH
Pharmacist in Kentwood, Michigan
NPI 1881376259

Cory Jon Driesenga is a Pharmacist based in Caledonia, MI. Cory Jon Driesenga practices in Kentwood, MI and has the professional credentials of RPH. The NPI Number for Cory Jon Driesenga is 1881376259 and holds a License No. 5302415311 (Michigan).

The current practice location address for Cory Jon Driesenga is 5225 Eastern Ave Se, Kentwood, MI and can be reached out via phone at 616-261-3662.

Location: 5225 Eastern Ave Se, Kentwood, MI, 49316-9157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881376259
Provider Name
Cory Jon Driesenga
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
5225 Eastern Ave Se, Kentwood, MI, 49316-9157
Phone Number
616-261-3662
Fax Number
Provider Enumeration Date
08/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5225 Eastern Ave Se
City
Kentwood
State
Michigan
Zip
49508-6009
Phone Number
616-261-3662
Fax Number
person
Provider Business Mailing Address Details
Address
5225 Eastern Ave Se
City
Kentwood
State
Michigan
Zip
49508-6009
Phone Number
616-261-3662
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302415311 (Michigan)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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