NPI | 1639198690 |
---|---|
Doing Business As | EVANS PHARMACY VITAL CARE |
Entity Type | Organization |
Authorized Contact | KYLE WHITEHEAD Partner 580-234-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: OK 5-4603) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2020-08-22 |