Evans Pharmacy

LBN: Evans Pharmacy Llc
Evans Pharmacy is an health care organization with primary practice located at 1106 W Willow Rd , Enid OK 73703-2503. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Evans Pharmacy Llc can be contacted via phone (580) 234-4343, or through Nunley, Kristi Lynn via phone (580) 234-4343.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5-5107 Oklahoma
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 5-5107 Oklahoma
Suppliers / Pharmacy 333600000X 5-5107 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X 5-5107 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X 5-5107 Oklahoma

Profile Details

NPI number 1346274693
LBN Legal business name Evans Pharmacy Llc
DBA Doing business as Evans Pharmacy
Authorized official Nunley, Kristi Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 19th, 2021 - 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 1346274693 NPPES
Oklahoma MEDICAID 100247450A

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