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Contact Information

EVANS PHARMACY LLC
110 N OAKWOOD RD
ENID, OK73703-4946
 Phone: 580-233-1202
 Fax: 580-233-1208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for EVANS PHARMACY LLC

NPI # 1598913147
LBN Legal business name EVANS PHARMACY LLC
Authorized official KRISTI NUNLEY - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2008
Last updated 08/22/2019 - About 7 years ago
Identifiers
OK License # 5-7137
OK Medicaid 100247450D
Other 2116853 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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