Evans Pharmacy Viatl Care

LBN: Evans Pharmacy Llc
Evans Pharmacy Viatl Care is an health care organization with primary practice located at 1106 W Willow Rd , Enid OK 73703-2503. The organization recently has only one registered license in Suppliers / Home Infusion Therapy Pharmacy, which is considered as the primary health care specialty. Evans Pharmacy Llc can be contacted via phone (508) 234-4343, or through Whitehead, Kyle via phone (580) 234-4343.

Contact Information

Primary practice address
1106 W Willow Rd Enid OK 73703-2503
Phone: (508) 234-4343
Fax: (580) 234-5477
Website:
Map and Directions
Authorized official contact:
Name: Whitehead, Kyle
Phone: (580) 234-4343

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 5-4603 Oklahoma

Profile Details

NPI number 1003835067
LBN Legal business name Evans Pharmacy Llc
DBA Doing business as Evans Pharmacy Viatl Care
Authorized official Whitehead, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003835067 NPPES
Oklahoma MEDICAID 100247450A
Oklahoma Other 37143288001
Oklahoma MEDICAID 100232660E
Oklahoma Other 100247450C

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