Individual
LEE OWEN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
323 E GRAND ST, SPRINGFIELD, MO 65807-1447
(417) 761-6350
(417) 761-6351
Mailing address
323 E GRAND ST, SPRINGFIELD, MO 65807-1447
(417) 761-6350
(417) 761-6351
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
2016024001
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
MO
Enumeration date
11/02/2020
Last updated
11/02/2020
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