Healthcare Provider Details

I. General information

NPI: 1982752549
Provider Name (Legal Business Name): CUNNINGHAM DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 HWY 11 E
BULLS GAP TN
37711
US

IV. Provider business mailing address

411 HWY 11 E PO BOX 127
BULLS GAP TN
37711
US

V. Phone/Fax

Practice location:
  • Phone: 423-235-6263
  • Fax: 423-235-4792
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2211
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EDWIN CUNNINGHAM
Title or Position: OWNER AND PHRM
Credential: RPH
Phone: 423-235-6263