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Organization

LAKE ODESSA PHARMACY

Active
Other names
Lake O Rx
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA CUSACK (OWNER/PHARMACIST)
(877) 855-9777
Entity
Organization

Contact information

Practice address
802 4TH AVE, LAKE ODESSA, MI 48849-1002
(877) 855-9777
(877) 855-8222
Mailing address
802 4TH AVE, LAKE ODESSA, MI 48849-1002
(877) 855-9777
(877) 855-8222

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011266
MI

Other

Enumeration date
09/29/2017
Last updated
07/21/2022
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