Organization
EVANS DRUG & COMPANY
Active
Other names
Evans Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DONAVER EVANS (OWNER)
(910) 445-3120
Entity
Organization
Contact information
Practice address
10187 NC HIGHWAY 127, HICKORY, NC 28601-8380
(828) 495-3784
Mailing address
2679 RINK DAM RD, TAYLORSVILLE, NC 28681-3902
(910) 445-3120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418971
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/07/2010
Last updated
12/10/2010
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