Individual
EVAN TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-4678
Mailing address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
700150
NC
Other
Enumeration date
12/07/2018
Last updated
10/28/2020
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