NPI | 1386667186 |
---|---|
Doing Business As | EVANS PHARMACY VITAL CARE |
Entity Type | Organization |
Authorized Contact | KYLE WHITEHEAD Partner 580-234-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: OK 54603) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2020-08-22 |