Provider Demographics
NPI:1760690333
Name:NUNAMAKER, PAUL F (RPH)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:NUNAMAKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66200 BROOM RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9631
Mailing Address - Country:US
Mailing Address - Phone:740-439-2019
Mailing Address - Fax:
Practice Address - Street 1:439 5TH & GRIZZLY
Practice Address - Street 2:MANIILAQ ASSOCIATION
Practice Address - City:KOTZEBUE
Practice Address - State:AK
Practice Address - Zip Code:99752
Practice Address - Country:US
Practice Address - Phone:907-442-7182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1374183500000X
OH03-2-19731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist