MEDICARE: ABIGAIL ELISE CUNNINGHAM PHARMD

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
1	183500000X	Pharmacist	PS58408	FL

General Provider Information

NPI Number	:	1942800396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL ELISE CUNNINGHAM PHARMD

Provider Business Mailing Address
First Line	:	2815 DIRECTORS ROW STE 700
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5526
Country	:	US
Telephone Number	:	407-270-6722
Fax Number	:

Provider Business Practice Location Address
First Line	:	2815 DIRECTORS ROW STE 700
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5526
Country	:	US
Telephone Number	:	407-270-6722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	07/01/2023

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