Individual
BRIAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 W LINCOLN ST, AUGUSTA, WI 54722-9152
(715) 286-2515
Mailing address
1324 W CLAIREMONT AVE STE 3, EAU CLAIRE, WI 54701-6191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10166
WI
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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