Individual
MR. MICHAEL JOHN EVANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
(304) 264-4485
Mailing address
3912 MILLS RD, SHARPSBURG, MD 21782-1927
(301) 432-6996
(304) 264-4485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07782
MD
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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