Provider Demographics
NPI:1891811097
Name:LUSK, DON A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:A
Last Name:LUSK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 SITKA LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:SC
Mailing Address - Zip Code:29657-4600
Mailing Address - Country:US
Mailing Address - Phone:864-843-6031
Mailing Address - Fax:864-885-7555
Practice Address - Street 1:298 MEMORIAL DR
Practice Address - Street 2:OCONEE MEM. HOSP. - DEPT. OF PHARMACY
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29672-9443
Practice Address - Country:US
Practice Address - Phone:864-885-7621
Practice Address - Fax:864-885-7555
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist