Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
261QH0100X | |||
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1316884729 |
| LBN Legal business name | EVOKE WELLNESS |
| Authorized official | JOE OLIVAREZ - (FOUNDER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/02/2026 |
| Last updated | 05/02/2026 - About a month ago |
| Identifiers | n/a |
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