Organization
EVANS PHARMACY, LLC
Active
Other names
Evans Pharmacy Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LYNN NUNLEY (OFFICE MANAGER)
(580) 234-4343
Entity
Organization
Contact information
Practice address
1106 W WILLOW RD, ENID, OK 73703-2503
(580) 234-4343
(580) 234-5477
Mailing address
1106 W WILLOW RD, ENID, OK 73703-2599
(580) 234-5494
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232660E
—
OK
05
—
100247450A
—
OK
01
—
100247450C
OK HEALTHCARE AUTHORITY
OK
Enumeration date
07/19/2006
Last updated
09/02/2025
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