Individual
CARL WILLIAM EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3061 BOCASTLE CT, REYNOLDSBURG, OH 43068-5074
(614) 404-0937
Mailing address
3061 BOCASTLE CT, REYNOLDSBURG, OH 43068-5074
(614) 404-0937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03212560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03212560
RPH LICENSE
OH
Enumeration date
01/07/2019
Last updated
01/07/2019
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