Individual
NICOLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
16380 W YUMA RD, GOODYEAR, AZ 85338-3100
(623) 925-4442
Mailing address
16380 W YUMA RD, GOODYEAR, AZ 85338-3100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021979
AZ
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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