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

Primary practice address
802 4Th Ave Lake Odessa MI 48849-1002
Phone: (877) 855-9777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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