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Andrea Cusack
NPI 1255617585 · on the registry since 2011 · sole proprietor
Practice
- Address
- 802 4th Ave
Lake Odessa, MI 48849 - Phone
- (877) 855-9777
- Organisation at this address
- Lake Odessa Pharmacy
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan