Wayne Clark Cheatum, R. PH.

Pharmacist · Lackland Afb, TX

Individual Active NPI

NPI number 1407914146

Practice location

2200 Bergquist Dr Suite 1
59 MDTS Pharmacy
Lackland Afb, TX 78236-9908
Phone
(210) 292-7216
Fax
(210) 292-3722

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NPI record

NPI
1407914146
Entity type
Individual (Type 1)
Enumeration date
December 5, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS19080 FL

Mailing address

13027 Wild Heart
Helotes, TX 78023-3968
Phone
(210) 265-5036

About Wayne Cheatum

Wayne Clark Cheatum, R. PH. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2200 Bergquist Dr Suite 1, 59 MDTS Pharmacy, Lackland Afb, TX 78236-9908. The NPI number 1407914146 was assigned on December 5, 2006 and the record was last updated on July 8, 2007.

Wayne Cheatum lists a license in the registry: #PS19080 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wayne Clark Cheatum, R. PH.?

The NPI number is 1407914146.

What is the phone number of Wayne Cheatum?

The phone number listed for the practice location is (210) 292-7216.

Where is Wayne Cheatum located?

2200 Bergquist Dr Suite 1, 59 MDTS Pharmacy, Lackland Afb, TX 78236-9908.

What is the taxonomy code for Wayne Cheatum?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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