Individual
SETH EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-5027
Mailing address
787 SUNLITE DR, ONEIDA, WI 54155-9278
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20113-40
WI
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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