Healthcare Provider Details

I. General information

NPI: 1124948682
Provider Name (Legal Business Name): PATRICK CUMMINGS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 AVENUE E
APALACHICOLA FL
32320-2000
US

IV. Provider business mailing address

72 12TH ST
APALACHICOLA FL
32320-2055
US

V. Phone/Fax

Practice location:
  • Phone: 850-653-8737
  • Fax:
Mailing address:
  • Phone: 850-896-2745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS32887
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: