Individual
DR. AMANDA CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3700 17 MILE RD NE, CEDAR SPRINGS, MI 49319-7974
(616) 696-4610
(616) 696-4665
Mailing address
3700 17 MILE RD NE, CEDAR SPRINGS, MI 49319-7974
(616) 696-4610
(616) 696-4665
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302034735
MI
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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