Cunningham, Lee Owen
Cunningham, Lee Owen is an individual health care provider with primary practice located at 323 E Grand St , Springfield MO 65807-1447. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Cunningham, Lee Owen can be contacted via phone (417) 761-6350.Contact Information
Primary practice address
323 E Grand St
Springfield MO 65807-1447
Phone: (417) 761-6350
Fax: (417) 761-6351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 2016024001 | Missouri |
Profile Details
NPI number | 1104427624 |
---|---|
LBN Legal business name | Cunningham, Lee Owen |
Credentials | PHARM.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2020 |
Last updated | Nov 2nd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104427624 | NPPES |
Missouri | MEDICAID | 0000 |
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