Provider Demographics
NPI:1932233707
Name:SOUTHWICK, CASHELL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CASHELL
Middle Name:
Last Name:SOUTHWICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 W DEXTER TRL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-9683
Mailing Address - Country:US
Mailing Address - Phone:517-256-9978
Mailing Address - Fax:517-244-1965
Practice Address - Street 1:550 HULL RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-9270
Practice Address - Country:US
Practice Address - Phone:517-244-1933
Practice Address - Fax:517-244-1965
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist