Organization
EVANS PHARMACY, LLC
Active
Other names
Evans Pharmacy Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WHITEHEAD (PARTNER)
(580) 234-4343
Entity
Organization
Contact information
Practice address
1106 W WILLOW RD, ENID, OK 73703-2503
(580) 234-4343
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
54603
OK
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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