Provider Demographics
NPI:1629760970
Name:HARVEY DRUG ABILENE LLC
Entity Type:Organization
Organization Name:HARVEY DRUG ABILENE LLC
Other - Org Name:HARVEY DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:SANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUEKER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:785-263-4550
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:316-633-1797
Mailing Address - Fax:620-327-2500
Practice Address - Street 1:204 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:KS
Practice Address - Zip Code:67410-2651
Practice Address - Country:US
Practice Address - Phone:785-263-4550
Practice Address - Fax:785-263-1496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy