Organization
EVETTS PHARMACY INC.
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JEFFREY EVETTS (OWNER PHARMACIST)
(901) 683-3511
Entity
Organization
Contact information
Practice address
920 ESTATE DR, MEMPHIS, TN 38119-0601
(901) 683-3511
Mailing address
920 ESTATE DR, MEMPHIS, TN 38119-0601
(901) 683-3511
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
739
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4401650
NCPDP #
TN
05
—
4674470001
—
TN
Enumeration date
11/02/2006
Last updated
03/07/2023
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