Cusack, Andrea R
Cusack, Andrea R is an sole proprietor health care provider with primary practice located at 802 4Th Ave , Lake Odessa MI 48849-1002. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Cusack, Andrea R can be contacted via phone (877) 855-9777.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5302032199 | Michigan |
Profile Details
| NPI number | 1255617585 |
|---|---|
| LBN Legal business name | Cusack, Andrea R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2011 |
| Last updated | Jan 12th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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