Individual
DR. NATHANIAL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
2020 BASHFORD MANOR LN, LOUISVILLE, KY 40218-2114
(502) 451-6822
Mailing address
2020 BASHFORD MANOR LN, LOUISVILLE, KY 40218-2114
(502) 451-6822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016169
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016169
KENTUCKY PHARMACIST LICENSE
KY
01
—
464408
NABP
KY
Enumeration date
11/20/2013
Last updated
11/20/2013
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