Individual
JENNIFER MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
570 E MOQUI LN, ESCALANTE, UT 84726-7753
(435) 826-4374
(435) 826-4372
Mailing address
PO BOX 276, ESCALANTE, UT 84726-0276
(801) 413-3718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5328330-1701
UT
Other
Enumeration date
03/14/2013
Last updated
09/14/2016
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