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Organization

EP EVANS DRUG, INC

Active
Other names
PHYSICIANS MEDICAL EQUIPMENT AND SUPPLIES
Organization subpart
No

Provider details

NPI number
Authorized official
RENEA HAYES (MANAGER)
(417) 876-5601
Entity
Organization

Contact information

Practice address
107 S OAK ST, NEVADA, MO 64772-3436
(417) 876-5601
(417) 876-5604
Mailing address
200 E US HIGHWAY 54, EL DORADO SPG, MO 64744-1926
(417) 876-5601
(417) 876-5604

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BN1400X
Nursing Facility Supplies (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
621255900
MO
Enumeration date
04/18/2022
Last updated
03/20/2023
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