NPI 1124439310

Lee Owen Cunningham, RPH

Practitioner Pharmacist Branson, MO

Practice location

Address: 5571 N Gretna Rd, Branson, MO 65616-7287
Phone: (417) 243-2300
Fax: (417) 243-2390
Mailing address: 1100 N College Ave, Fayetteville, AR 72703-1944

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 044600 (MO)

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Registry record

NPI: 1124439310
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2014
Record last updated: 11 May 2014

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.