Evans Specialty Pharmacy

LBN: Evans Specialty Pharmacy
Evans Specialty Pharmacy is an health care organization with primary practice located at 1110 W Willow Rd , Enid OK 73703-2503. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Evans Specialty Pharmacy can be contacted via phone (580) 242-1116, or through Whitehead, Kyle Keith via phone (580) 234-4343.

Contact Information

Primary practice address
1110 W Willow Rd Enid OK 73703-2503
Phone: (580) 242-1116
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whitehead, Kyle Keith
Phone: (580) 234-4343

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X 5-5173 Oklahoma

Profile Details

NPI number 1982806527
LBN Legal business name Evans Specialty Pharmacy
DBA Doing business as
Authorized official Whitehead, Kyle Keith
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2007
Last updated Apr 1st, 2010 - about 14 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 1982806527 NPPES
Oklahoma Other 5-5173 STATE LICENSE

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