Organization
CHEYENNE DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D SIEBERT RPH (PRESIDENT)
(620) 653-2818
Entity
Organization
Contact information
Practice address
110 N MAIN, HOISINGTON, KS 67544-0446
(620) 653-2828
(620) 653-4206
Mailing address
PO BOX 446, HOISINGTON, KS 67544-0446
(620) 653-2828
(620) 653-4206
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2-08220
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1702910
NCPDP
—
Enumeration date
02/27/2006
Last updated
08/22/2020
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