Individual
DR. STEPHANIE LYNNE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
310 W 5TH ST, BENTON, KY 42025-1102
(270) 527-3597
Mailing address
589 W 14TH AVE, CALVERT CITY, KY 42029-7535
(270) 527-3597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012830
KY
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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