Andrea R Cusack
NPI #1255617585 in Lake Odessa, Michigan
Provider Information
- NPI Number
- 1255617585
- Entity Type
- Individual
- Name
- Andrea R Cusack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 1, 2011
- Last Updated
- Jan 12, 2021
Practice Location
- Address
- 802 4TH AVE
- City
- Lake Odessa
- State
- Michigan
- ZIP Code
- 48849-1002
- Phone
- (877) 855-9777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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