NPI 1083633960

Evans Pharmacy, LLC

Organisation Pharmacy Enid, OK

Practice location

Address: 1106 W Willow Rd, Enid, OK 73703-2503
Phone: (580) 234-4343
Fax: (580) 234-5477
Mailing address: PO Box 5047, Meridian, MS 39302-5047

Authorised official

Name: Kyle Whitehead
Title: Partner
Phone: (580) 234-4343

Registered specialties

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 5-4603 (OK)

Other Pharmacy providers in Oklahoma →

Registry record

NPI: 1083633960
Entity type: Organization
NPI issued: 19 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.