Provider Demographics
NPI:1003307273
Name:HARVEY DRUG LLC
Entity Type:Organization
Organization Name:HARVEY DRUG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KUEKER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:316-633-1797
Mailing Address - Street 1:PO BOX 636
Mailing Address - Street 2:
Mailing Address - City:HESSTON
Mailing Address - State:KS
Mailing Address - Zip Code:67062-0636
Mailing Address - Country:US
Mailing Address - Phone:316-333-0120
Mailing Address - Fax:316-333-0121
Practice Address - Street 1:115 W 5TH ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2113
Practice Address - Country:US
Practice Address - Phone:316-333-0120
Practice Address - Fax:316-333-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2-105745333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy