Evans Drugs

LBN: Kb Evans Drug Inc
Evans Drugs is an health care organization with primary practice located at 209 E Us Highway 54 , El Dorado Springs MO 64744-1925. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kb Evans Drug Inc can be contacted via phone (417) 876-3313, or through Mccullough, Kevin via phone (417) 876-3313.

Contact Information

Primary practice address
209 E Us Highway 54 El Dorado Springs MO 64744-1925
Fax: (417) 876-3813
Website:
Authorized official contact:
Name: Mccullough, Kevin RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2010042680 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X 2010042680 Missouri

Profile Details

NPI number 1578679056
LBN Legal business name Kb Evans Drug Inc
DBA Doing business as Evans Drugs
Authorized official Mccullough, Kevin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Apr 11th, 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 1578679056 NPPES
Missouri MEDICAID 620120501
Missouri MEDICAID 600120505
Missouri Other 2128300

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