Provider Demographics
NPI:1538449632
Name:SAGHBENE, GEORGE F (RPH)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:F
Last Name:SAGHBENE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 W. CENTRAL
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4912
Mailing Address - Country:US
Mailing Address - Phone:316-945-3388
Mailing Address - Fax:316-945-4676
Practice Address - Street 1:3108 W. CENTRAL
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-4912
Practice Address - Country:US
Practice Address - Phone:316-945-3388
Practice Address - Fax:316-945-4676
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-10709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist