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Contact Information

EVANS PHARMACY LLC
1106 W WILLOW RD
ENID, OK73703-2503
 Phone: 508-234-4343
 Fax: 580-234-5477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for EVANS PHARMACY LLC

NPI # 1003835067
LBN Legal business name EVANS PHARMACY LLC
Authorized official KYLE WHITEHEAD - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # 5-4603
OK Medicaid 100232660E
OK Medicaid 100247450A
OK Other 37143288001 BCBS HIT
OK Other 100247450C OK HEALTHCARE AUTHORITY
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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