Lake Odessa Pharmacy
NPI #1831608108 in Lake Odessa, Michigan
Provider Information
- NPI Number
- 1831608108
- Entity Type
- Organization
- Organization Name
- Lake Odessa Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 29, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 802 4TH AVE
- City
- Lake Odessa
- State
- Michigan
- ZIP Code
- 48849-1002
- Phone
- (877) 855-9777
Authorized Official
- Name
- ANDREA CUSACK
- Title
- OWNER/PHARMACIST
- Phone
- (877) 855-9777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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