NPI 1003193780

Michelle M Cunningham, RPH

Practitioner Pharmacist Fond Du Lac, WI

Practice location

Address: 192 N Main St Walgreens Pharmacy, Fond Du Lac, WI 54935-3462
Phone: (920) 922-9634
Fax: (920) 921-2760

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 12013 (WI)

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Registry record

NPI: 1003193780
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2011
Record last updated: 9 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.