Individual
DR. RUSSELL D EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
19028 LINCOLN AVE, PARKER, CO 80134-9381
(303) 805-2135
Mailing address
8414 BLACK GUM ST, PARKER, CO 80134-8899
(720) 308-6206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15814
CO
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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