Evetts Drug Inc

LBN: Evetts Drug Inc.
Evetts Drug Inc is an health care organization with primary practice located at 100 E 1St St , Cordell OK 73632-4810. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Evetts Drug Inc. can be contacted via phone (580) 832-3388, or through Evetts, Jimmy via phone (580) 832-3388.

Contact Information

Primary practice address
100 E 1St St Cordell OK 73632-4810
Phone: (580) 832-3388
Fax: (580) 832-5271
Website:
Map and Directions
Authorized official contact:
Name: Evetts, Jimmy Doctor of Public Health (DPH)
Phone: (580) 832-3388

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 332098 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1104919547
LBN Legal business name Evetts Drug Inc.
DBA Doing business as Evetts Drug Inc
Authorized official Evetts, Jimmy Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Nov 18th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104919547 NPPES
Other 2072712 PK
MEDICAID 100235580A PK

Popular Providers