Individual
DR. DORTHY JEAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
6505 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-2001
(618) 394-8744
(618) 394-2026
Mailing address
6505 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-2001
(618) 394-8744
(618) 394-1026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.036497
IL
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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