Individual provider · Type 1 NPI

Cory Jon Driesenga, RPH

Pharmacist · Kentwood, MI

NPI number 1881376259 Active

Practice location

5225 Eastern Ave SE
Kentwood, MI 49508-6009

Call (616) 261-3662 Map

Mailing address

6681 E Mill Run SE
Caledonia, MI 49316-9157

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302415311 (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 1881376259

Cory Jon Driesenga, RPH's National Provider Identifier is 1881376259, issued on Aug 3, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kentwood, MI. The record was last updated on Aug 3, 2023.