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EVANS PHARMACY LLC NPI 1639198690


NPI Information

NPI: 1639198690
Provider Name: EVANS PHARMACY LLC

Doing Business As: EVANS PHARMACY VITAL CARE

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
1106 W WILLOW RD
ENID, OK
ZIP 73703
Phone: (580) 234-4343
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EVANS PHARMACY LLC is a specialty pharmacy pharmacy in Enid, OK. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. EVANS PHARMACY LLC NPI is 1639198690. The provider is registered as an organization entity type.
The provider Is Doing Business As Evans Pharmacy Vital Care.

The provider's business location address is:

1106 W WILLOW RD
ENID, OK
ZIP 73703-503
Phone: (580) 234-4343
Fax: (580) 234-5477

The provider's authorized official is Kyle Whitehead .
The authorized official title is Partner and has the following contact phone number (580) 234-4343.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336S0011XPharmacySpecialty Pharmacy5-4603OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11002323660EMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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