Organization
EVANS PHARMACY LLC
Active
Other names
Evans Pharmacy Viatl Care
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WHITEHEAD (PARTNER)
(580) 234-4343
Entity
Organization
Contact information
Practice address
1106 W WILLOW RD, ENID, OK 73703-2503
(508) 234-4343
(580) 234-5477
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
5-4603
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232660E
—
OK
05
—
100247450A
—
OK
01
—
100247450C
OK HEALTHCARE AUTHORITY
OK
01
—
37143288001
BCBS HIT
OK
Enumeration date
07/19/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us