Individual provider · Type 1 NPI

Wayne Clark Cheatum, R. PH.

Pharmacist · Lackland Afb, TX

NPI number 1407914146 Active

Practice location

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

Fax (210) 292-3722

Mailing address

13027 Wild Heart
Helotes, TX 78023-3968

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS19080 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1407914146

Wayne Clark Cheatum, R. PH.'s National Provider Identifier is 1407914146, issued on Dec 5, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lackland Afb, TX. The record was last updated on Jul 8, 2007.