Individual provider · Type 1 NPI

Joel Roudabush, RPH

Pharmacist · Grand Rapids, MI

NPI number 1295025369 Active

Practice location

2130 Wealthy St SE
Grand Rapids, MI 49506-3057

Fax (616) 454-4213

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	5302021307 (MI)

Pharmacist: 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…

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About NPI 1295025369

Joel Roudabush, RPH's National Provider Identifier is 1295025369, issued on Apr 11, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 11, 2011.