Provider Demographics
NPI:1770818346
Name:CUNNINGHAM, ROBERT A (BS PHARMAXCY)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:BS PHARMAXCY
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:ALLAN
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10450 N LA CANADA DR
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-7027
Mailing Address - Country:US
Mailing Address - Phone:520-877-9269
Mailing Address - Fax:520-531-8281
Practice Address - Street 1:10450 N LA CANADA DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-7027
Practice Address - Country:US
Practice Address - Phone:520-877-9269
Practice Address - Fax:520-531-8281
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0171781835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist