Individual
TRAVIS CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3036 BARDSTOWN RD, LOUISVILLE, KY 40205-3020
(502) 458-2647
Mailing address
175 W WHISKEY RUN RD NE, NEW SALISBURY, IN 47161-8804
(502) 298-3627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017979
KY
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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