Cheatum, Wayne Clark
Cheatum, Wayne Clark is an sole proprietor health care provider with primary practice located at 2200 Bergquist Dr Suite 1 59 Mdts Pharmacy, Lackland Afb TX 78236-9908. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Cheatum, Wayne Clark can be contacted via phone (210) 292-7216.Contact Information
Primary practice address
2200 Bergquist Dr Suite 1 59 Mdts Pharmacy
Lackland Afb TX 78236-9908
Phone: (210) 292-7216
Fax: (210) 292-3722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS19080 | Florida |
Profile Details
| NPI number | 1407914146 |
|---|---|
| LBN Legal business name | Cheatum, Wayne Clark |
| Credentials | R. PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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