Provider Demographics
NPI:1679036495
Name:FINNEGAN, ABBY LEIGH (RPH)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:LEIGH
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:LEIGH
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5070 ROCKWELL DR NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2003
Mailing Address - Country:US
Mailing Address - Phone:319-377-5497
Mailing Address - Fax:319-373-4414
Practice Address - Street 1:5070 ROCKWELL DR NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2003
Practice Address - Country:US
Practice Address - Phone:319-377-5497
Practice Address - Fax:319-373-4414
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist