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NPI Code Detail

MEDICARE: ROBERT A CUNNINGHAM BS PHARMAXCY

MEDICARE: ROBERT A CUNNINGHAM BS PHARMAXCY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistS017178AZ

General Provider Information

NPI Number : 1770818346
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT A CUNNINGHAM BS PHARMAXCY
Provider Business Mailing Address
First Line : 10450 N LA CANADA DR
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85737-7027
Country : US
Telephone Number : 520-877-9269
Fax Number : 520-531-8281
Provider Business Practice Location Address
First Line : 10450 N LA CANADA DR
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85737-7027
Country : US
Telephone Number : 520-877-9269
Fax Number : 520-531-8281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2009
Last Update Date : 10/14/2009

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