# EVANS PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evans Pharmacy Vital Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194744151
- **Authorized official:** KRISTI LYNN NUNLEY (OFFICE MANAGER)
- **Authorized official phone:** (580) 234-4343

## Contact information

- **Practice address:** 1106 W WILLOW RD, ENID, OK 73703-2503
- **Practice address phone:** (580) 234-4343
- **Practice address fax:** (580) 234-5477
- **Mailing address:** 1106 W WILLOW RD, ENID, OK 73703-2599
- **Mailing address phone:** (580) 234-5494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 09/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100232660E | — | OK |
| 05 | — | 100247450A | — | OK |
| 01 | — | 100247450C | OK HEALTHCARE AUTHORITY | OK |