Evans Drugs Bolivar

LBN: Evans Drugs Bolivar Llc
Evans Drugs Bolivar is an health care organization with primary practice located at 703 E College St , Bolivar MO 65613-2630. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Evans Drugs Bolivar Llc can be contacted via phone (417) 326-5208, or through Timmermann, Tracy via phone (417) 876-3313.

Contact Information

Primary practice address
703 E College St Bolivar MO 65613-2630
Phone: (417) 326-5208
Fax: (417) 777-4041
Website:
Map and Directions
Authorized official contact:
Name: Timmermann, Tracy
Phone: (417) 876-3313

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1407887086
LBN Legal business name Evans Drugs Bolivar Llc
DBA Doing business as Evans Drugs Bolivar
Authorized official Timmermann, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 17th, 2022 - about 2 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 1407887086 NPPES
Other 2048894 PK
MEDICAID 606032803 PK

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