| NPI | 1346274693 |
|---|---|
| Doing Business As | EVANS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRISTI LYNN NUNLEY Office Manager 580-234-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 5-5107) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 5-5107) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OK 5-5107) | |
| 333600000X Pharmacy (Licence: OK 5-5107) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OK 5-5107) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-08-19 |