Individual
MRS. KIMBERLY DAWN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD,RPH
Contact information
Practice address
101 LAUREL AVE, COEBURN, VA 24230-3529
(276) 395-5396
(276) 395-7928
Mailing address
101 LAUREL AVE, COEBURN, VA 24230-3529
(276) 395-5396
(276) 395-7928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206899
VA
Other
Enumeration date
03/26/2011
Last updated
03/26/2011
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