Individual
JIM EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 HIGHWAY 277 N, SONORA, TX 76950-2204
(325) 387-2541
(325) 387-5423
Mailing address
P.O. BOX 527, SONORA, TX 76950-0527
(325) 387-2541
(325) 387-5423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18546
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
23182
TX
Other
Enumeration date
03/08/2011
Last updated
04/15/2011
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