Healthcare Provider Details

I. General information

NPI: 1629760970
Provider Name (Legal Business Name): HARVEY DRUG ABILENE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N CEDAR ST
ABILENE KS
67410-2651
US

IV. Provider business mailing address

PO BOX 636
HESSTON KS
67062-0636
US

V. Phone/Fax

Practice location:
  • Phone: 785-263-4550
  • Fax: 785-263-1496
Mailing address:
  • Phone: 316-633-1797
  • Fax: 620-327-2500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SANDIE KUEKER
Title or Position: OWNER/PIC
Credential: RPH
Phone: 785-263-4550