Organization
EVANS DRUGS NEVADA LLC
Active
Other names
Woods Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TIMMERMANN (MANAGER)
(417) 876-3313
Entity
Organization
Contact information
Practice address
1407 W AUSTIN BLVD, NEVADA, MO 64772-2805
(417) 667-3953
(417) 448-5991
Mailing address
209 E US HIGHWAY 54, EL DORADO SPRINGS, MO 64744-1925
(417) 876-3313
(417) 876-2326
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
240468217
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606032902
—
MO
Enumeration date
10/04/2006
Last updated
02/17/2022
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