Organization Name: | EVANS PHARMACY LLC |
NPI Number: | 1346274693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTI LYNN NUNLEY (OFFICE MANAGER) |
Mailing Address: | 1106 W Willow Rd Enid |
State: | OK US |
Postal Code: | 737032503 |
Phone Number: | 5802344343 |
Fax Number: | 5802345477 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5-5107 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |