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EVANS PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Enid, Oklahoma

Provider NPI: 1003835067

Organization Information:
Organization Name:  EVANS PHARMACY LLC


Practice Location:
1106 W WILLOW RD  ENID, OK 73703 US
Tel: 508-234-4343  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy
OK5-4603

Other Provider Identifiers:

IssuerNumberStateType
OK HEALTHCARE AUTHORITY100247450COK01
100232660EOK05
BCBS HIT37143288001OK01
100247450AOK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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