Cheyenne Professional Drug, Inc
Organization Active NPI Community/Retail Pharmacy · Sayre, OK
NPI 1104851989 · NPPES record last updated Jun 20, 2019
Key facts
- NPI
- 1104851989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CHEYENNE PROFESSIONAL DRUG, INC
- Practice address
- 1002 NE Highway 66 Ste 1
Sayre, OK 73662-9312 - Phone
- (580) 928-3633
- Fax
- (580) 928-3635
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Eddie Lakey, PHARMD
- Title
- Owner
- Phone
- (580) 374-1615
Practitioners 1
-
Eddie Tom Lakey II, PHARMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1002 NE Highway 66 Ste 1
Sayre, OK 73662-9312
Mailing address
PO Box 111
Sayre, OK 73662-0111
Phone (580) 928-3633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2073595 | Other | PK | |
| 100244920A | Medicaid | OK |
Other names
- SAYRE PROFESSIONAL PHARMACY
Other providers in Sayre, OK
- Kendriss Leigh Brown
- Franki Buckner
- Sonya K Carlson
- Sam Carter Sr.
- Cheyenne Professional Drug Inc
- Cheyenne Professional Drug, Inc
- Contemporary Healthcare Services, Aprn-CNP, PLLC
- David Epp OD PC
- Carson Ray Delong
- Dr. Brad Park PLLC
All providers in Sayre, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.