MR. Wayne Clark Cheatum, R. PH.
NPI #1407914146 in Lackland Afb, Texas
Provider Information
- NPI Number
- 1407914146
- Entity Type
- Individual
- Name
- MR. Wayne Clark Cheatum, R. PH.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- R. PH.
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2200 BERGQUIST DR SUITE 1
- Address 2
- 59 MDTS PHARMACY
- City
- Lackland Afb
- State
- Texas
- ZIP Code
- 78236-9908
- Phone
- (210) 292-7216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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