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Organization
EVANS PHARMACY, LLC
Active
Organization
EVANS PHARMACY, LLC
Active
Other names
Evans Pharmacy Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LYNN NUNLEY (OFFICE MANAGER)
(580) 234-4343
Entity
Organization
Contact information
Practice address
1106 W WILLOW RD, ENID, OK 73703-2503
(580) 234-4343
(580) 234-5477
Mailing address
1106 W WILLOW RD, ENID, OK 73703-2599
(580) 234-5494
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232660E
—
OK
05
—
100247450A
—
OK
01
—
100247450C
OK HEALTHCARE AUTHORITY
OK
Enumeration date
07/19/2006
Last updated
09/02/2025
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