Organization
EVANS DRUGS LOCKWOOD
Active
Other names
LOCKWOOD PHARMACY, Olive Branch Trading Co
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ALAN MCCULLOUGH (OWNER)
(417) 876-3313
Entity
Organization
Contact information
Practice address
725 MAIN ST, LOCKWOOD, MO 65682-9803
(417) 232-4721
(417) 232-5099
Mailing address
725 MAIN ST, PO BOX R, LOCKWOOD, MO 65682-9803
(417) 232-4721
(417) 232-5099
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005035
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051138
PK
—
05
—
600118509
—
MO
Enumeration date
07/14/2006
Last updated
08/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us