37D2197293 CLIA NUMBER - EVANS EXPRESS PHARMACY

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Laboratory Demographics

CLIA Number: 37D2197293

Facility Name: EVANS EXPRESS PHARMACY

Facility Address:
110 N OAKWOOD
ENID, OK
ZIP 73703
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Facility Phone Number: 580 233-1202

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598913147

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	37D2197293
LAB Type	Pharmacy
Facility Name	EVANS EXPRESS PHARMACY
Street	110 N OAKWOOD
City	ENID
State	OK
ZIP	73703
Phone	580 233-1202
CertificateType	4
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024