| Organization Name: | EVANS PHARMACY LLC |
| NPI Number: | 1003835067 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYLE WHITEHEAD (PARTNER) |
| Mailing Address: | 1106 W Willow Rd Enid |
| State: | OK US |
| Postal Code: | 737032503 |
| Phone Number: | 5082344343 |
| Fax Number: | 5802345477 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336H0001X |
| License Number: | 5-4603 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Home Infusion Therapy Pharmacy |
| Taxonomy Definition: | Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |