Provider Demographics
NPI:1003348608
Name:HRUSKA, CATHY STEWARD (RPH)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:STEWARD
Last Name:HRUSKA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 SOPHIA LN
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-2143
Mailing Address - Country:US
Mailing Address - Phone:248-766-3151
Mailing Address - Fax:
Practice Address - Street 1:7651 SOMERHILL LN
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-4382
Practice Address - Country:US
Practice Address - Phone:248-620-5423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-01
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-030719-L183500000X
MI5302038515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist