Individual provider · Type 1 NPI

Balsam Elajouz

Pharmacist · Grand Rapids, MI

NPI number 1477403582 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Call (616) 685-5000 Map

Mailing address

261 Netherfield St NW
Comstock Park, MI 49321-9343

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302413556 (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 1477403582

Balsam Elajouz's National Provider Identifier is 1477403582, issued on Jan 29, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 29, 2026.