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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104427624 NPPES
Missouri MEDICAID 0000

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