NPI | 1003835067 |
---|---|
Doing Business As | EVANS PHARMACY VIATL CARE |
Entity Type | Organization |
Authorized Contact | KYLE WHITEHEAD Partner 580-234-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OK 5-4603) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2020-08-22 |