Individual
JASON RAY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1905
(906) 483-1911
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1905
(906) 483-1911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030669
MI
Other
Enumeration date
03/26/2010
Last updated
03/31/2010
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