WAYNE CLARK CHEATUM

LACKLAND AFB, TX
NPI1407914146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS19080)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
Mr. WAYNE CLARK CHEATUM R. Ph.
2200 BERGQUIST DR SUITE 1 59 MDTS PHARMACY
LACKLAND AFB, TX 78236-9908
Phone number: 210-292-7216
Mailing Address
Mr. WAYNE CLARK CHEATUM R. Ph.
13027 WILD HEART
HELOTES, TX 78023-3968
Phone number: 210-265-5036
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