Organization
EVANS DRUG COMPANY PLLC
Active
Organization
EVANS DRUG COMPANY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S PRATER JR. PHARM D. (OWNER/PHARMACIST)
(270) 472-2421
Entity
Organization
Contact information
Practice address
214 LAKE STREET, FULTON, KY 42041
(270) 472-2421
(270) 472-0103
Mailing address
214 LAKE STREET, FULTON, KY 42041
(270) 472-2421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10684
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54035050
—
KY
Enumeration date
10/02/2006
Last updated
12/20/2024
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