Organization
EP EVANS DRUG, INC
Active
Parent organization
EP EVANS DRUG, INC
Other names
Physicians Medical Equipment and Supplies
Organization subpart
Yes
Provider details
NPI number
Legal business name
EP EVANS DRUG, INC
Authorized official
MRS. DARLENE ELLEN HALLFORD (VICE-PRESIDENT)
(417) 876-5601
Entity
Organization
Contact information
Practice address
200 E US HIGHWAY 54, EL DORADO SPRINGS, MO 64744-1926
(417) 876-5601
(417) 876-5604
Mailing address
200 E US HIGHWAY 54, EL DORADO SPRINGS, MO 64744-1926
(417) 876-5601
(417) 876-5604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621255900
—
MO
Enumeration date
11/02/2005
Last updated
01/11/2023
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