NPI | 1255324836 |
---|---|
Doing Business As | EVANS PHARMACY |
Entity Type | Organization |
Authorized Contact | BENTLEY FRED HAWLEY President 432-337-2361 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: TX 01918) |
Enumeration Date | 2005-08-29 |
Last Update Date | 2008-08-18 |