Individual
BENJAMIN A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
6845 S YORK HWY, CLARKRANGE, TN 38553-5154
(931) 863-3779
Mailing address
6845 S YORK HWY, CLARKRANGE, TN 38553-5154
(931) 863-3779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34302
TN
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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