Organization
EVETTS DRUG INC.
Active
Other names
EVETTS DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY EVETTS DPH (OWNER)
(580) 832-3388
Entity
Organization
Contact information
Practice address
100 E 1ST ST, CORDELL, OK 73632-4810
(580) 832-3388
(580) 832-5271
Mailing address
100 E 1ST ST, CORDELL, OK 73632-4810
(580) 832-3388
(580) 832-5271
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
332098
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235580A
—
OK
01
—
2072712
PK
—
Enumeration date
09/30/2006
Last updated
11/18/2015
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