NPI | 1104919547 |
---|---|
Doing Business As | EVETTS DRUG INC |
Entity Type | Organization |
Authorized Contact | JIMMY EVETTS Owner 580-832-3388 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 332098) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-09-30 |
Last Update Date | 2015-11-18 |