Individual
CHARLES WESLEY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1219 W BASE ST, MADISON, FL 32340
(850) 973-2719
(850) 973-2987
Mailing address
2303 SW PETTIS SPRINGS CIRCLE, GREENVILLE, FL 32331
(850) 948-9921
(850) 973-2987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019394
FL
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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