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Individual

MR. CHARLES EUBIE EVANS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
141 MARGINAL ST, COOLEEMEE, NC 27014
(336) 284-2537
(336) 284-2538
Mailing address
262 MICHAELS RD, MOCKSVILLE, NC 27028-6721
(336) 284-4292

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4791
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0305060
NC
Enumeration date
12/11/2006
Last updated
07/08/2007
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