Evans Specialty Pharmacy
Pharmacy, Specialty Pharmacy in Enid, OK. Organization (NPI-2).
NPI number1982806527
StatusActive
Last updated in NPPESApr 1, 2010
Details
- NPI
- 1982806527
- Entity type
- Organization (NPI-2)
- Legal business name
- Evans Specialty Pharmacy
- Organization subpart
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Apr 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336S0011X | Pharmacy, Specialty Pharmacy | 5-5173 | OK | Yes |
Practice location
1110 W Willow RdEnid, OK 73703-2503
Phone 580-242-1116
Mailing address
1110 W Willow RdEnid, OK 73703-2503
Authorized official
Kyle Keith Whitehead
Owner/Pharmacist
5802344343
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