Organization
SLPEVANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L EVANS PHARMD. (OWNER/MANAGING MEMBER)
(918) 379-5069
Entity
Organization
Contact information
Practice address
19453 REDBUD DR UNIT 7C, CATOOSA, OK 74015-6567
(918) 231-7030
Mailing address
PO BOX 185, CATOOSA, OK 74015-0185
(918) 231-7030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
12/09/2024
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