# 2ND HOME PHARMACY - EVANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740157866
- **Authorized official:** HANEEN M OMAR MRS (CEO)
- **Authorized official phone:** (303) 999-7763

## Contact information

- **Practice address:** 6880 E EVANS AVE, DENVER, CO 80224-2330
- **Practice address phone:** (303) 999-7763
- **Practice address fax:** (303) 999-7763
- **Mailing address:** 3131 S VAUGHN WAY STE 600, DENVER, CO 80014-3508
- **Mailing address phone:** (303) 999-7763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 10/22/2025
- **Last updated:** 10/22/2025