Garland Royce Cheyne, RPH

Individual provider Active NPI Pharmacist · Cleburne, TX

NPI 1811089162 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811089162
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
17125 (TX)
Practice address
502 N Main
Cleburne, TX 76033-3806
Phone
(817) 645-2445
Fax
(817) 645-5079
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17125TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Pharmacies Inc Past Accepting new patients
Best Value Pharmacies Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17125 TX Yes

Addresses

Primary practice location

502 N Main
Cleburne, TX 76033-3806

Mailing address

613 Rockdale
Cleburne, TX 76033-4551
Phone (817) 645-2445

Other providers in Cleburne, TX

All providers in Cleburne, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.