Organization
EVANS DRUGS SUNRISE BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TIMMERMANN (MANAGER)
(417) 876-3313
Entity
Organization
Contact information
Practice address
13655 N STATE HIGHWAY 5, SUNRISE BEACH, MO 65079-7449
(573) 372-8305
(573) 372-8308
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
333600000X
Pharmacy
2013013674
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
05/16/2013
Last updated
10/05/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up