Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA R CUSACK
Active Sole ProprietorPharmacist · LAKE ODESSA, MI
Registration Details
- NPI Number
- 1255617585
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2011 (14.500005485644 yrs)
- Last Updated
- Jan 12, 2021
- License
-
5302032199 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
802 4TH AVELAKE ODESSA, MI, 488491002Browse MI providers · Browse ZIP 48849
- Phone
- 8778559777
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in LAKE ODESSA, MI
| Name | Credential | NPI |
|---|---|---|
| WILLIAM H WALKER | RPH | 1104914001 |
| MRS. CHRISTINE MARGARET THOMAS | RPH | 1851512339 |
| MRS. PATRICIA ANN EDWARDS | RPH | 1285800060 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.