Terence Joseph Cusack Iv, in Twentynine Palms, CA - Pharmacist

Terence Joseph Cusack Iv, is a Pharmacist - Pharmacotherapy based in Twentynine Palms, California. Terence Joseph Cusack Iv is licensed to practice in California (license number 67215) and his current practice location is 1145 Sturgis Street, Twentynine Palms, California. He can be reached at his office (for appointments etc.) via phone at (760) 830-2202.

NPI number for Terence Joseph Cusack Iv is 1740531235 and his current mailing address is 401 Holland Ln, 513, Alexandria, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740531235.

Contact Information

	Terence Joseph Cusack Iv,
	1145 Sturgis Street, Twentynine Palms, CA 92277
	(760) 830-2202
	Not Available

Healthcare Provider's Profile

Full Name	Terence Joseph Cusack Iv
Gender	Male
Speciality	Pharmacist - Pharmacotherapy
Location	1145 Sturgis Street, Twentynine Palms, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1740531235
Provider Enumeration Date: 09/25/2012
Last Update Date: 03/02/2022

Medical Identifiers

Medical identifiers for Terence Joseph Cusack Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740531235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1835P1200X	Pharmacist - Pharmacotherapy	67215 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terence Joseph Cusack Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Terence Joseph Cusack Iv, 401 Holland Ln, 513, Alexandria, VA 22314-3428 Ph: (760) 464-8022	Terence Joseph Cusack Iv, 1145 Sturgis Street, Twentynine Palms, CA 92277 Ph: (760) 830-2202

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Pharmacist in Twentynine Palms, CA

Mrs. Dianne Kristine Tablan Banawa, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Phone: 760-367-3262 Fax: 760-367-0079
Jack Nguyen, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Phone: 760-367-3262
Rahulbhai Savalia, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Phone: 760-367-3262
Dr. Andrew William Romelhardt, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Attn Professional Affairs Magtftc Mcagcc, Twentynine Palms, CA 92278 Phone: 760-830-2670 Fax: 760-830-2131
Ram C Malhotra, DR. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Phone: 760-367-3262
Erica Marie Gordon, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 29 Palms Hwy, Twentynine Palms, CA 92277 Phone: 760-367-3262
Dr. Benjamin Jason Schwartz, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: Magtftc Mcagcc Naval Hospital Attn Professional Affairs, Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2750

Terence Joseph Cusack Iv, - Pharmacist in Twentynine Palms, CA