Individual
DR. JACK BARRETT CUNNINGHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
240 SHADOWLINE DR, BOONE, NC 28607-5088
(828) 264-4751
Mailing address
133 BOONE RIDGE DR, JOHNSON CITY, TN 37615-5004
(276) 345-6283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27075
NC
Other
Enumeration date
07/15/2017
Last updated
07/16/2017
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