| Organization Name: | EP EVANS DRUG, INC |
| NPI Number: | 1740271303 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARLENE ELLEN HALLFORD (VICE-PRESIDENT) |
| Mailing Address: | 215 E Hwy 54 El Dorado Springs |
| State: | MO US |
| Postal Code: | 647441925 |
| Phone Number: | 4178765601 |
| Fax Number: | 4178765604 |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 01/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |