Provider Demographics
NPI:1952990251
Name:CUMMINGS, HARRY (DPH,PD,RPH)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:DPH,PD,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 752073
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38175-2073
Mailing Address - Country:US
Mailing Address - Phone:901-679-8514
Mailing Address - Fax:
Practice Address - Street 1:6884 FOX HEDGE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-7362
Practice Address - Country:US
Practice Address - Phone:901-729-6939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist