Michael L Evans
Pharmacist in Mesa, AZ. Individual provider (NPI-1).
NPI number1164028502
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1164028502
- Entity type
- Individual (NPI-1)
- Name
- Michael L Evans
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2020
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S006159 | AZ | Yes |
Practice location
1122 N Higley RdMesa, AZ 85205-5306
Phone 484-854-6783
Mailing address
1122 N Higley RdMesa, AZ 85205-5306
Phone 484-854-6783
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