Provider Demographics
NPI:1962211417
Name:HARVEY DRUG ABILENE LLC
Entity type:Organization
Organization Name:HARVEY DRUG ABILENE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:SANDIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KUEKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-327-2211
Mailing Address - Street 1:204 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:KS
Mailing Address - Zip Code:67410-2651
Mailing Address - Country:US
Mailing Address - Phone:785-263-4550
Mailing Address - Fax:785-263-1496
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?:Yes
Parent Organization LBN:HARVEY DRUG ABILENE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy