| NPI | 1447279419 |
|---|---|
| Doing Business As | EVANS PHARMACY VITAL CARE |
| Entity Type | Organization |
| Authorized Contact | KYLE WHITEHEAD Partner 580-234-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OK 5-4603) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |