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NPI Code Detail

MEDICARE: EVANS DRUG INC

MEDICARE: EVANS DRUG INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1770292138
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVANS DRUG INC
Provider Business Mailing Address
First Line : PO BOX 309
Second Line :
City : COLUMBUS
State : KS
Zip : 66725-0309
Country : US
Telephone Number : 620-429-3322
Fax Number :
Provider Business Practice Location Address
First Line : 116 W PINE ST
Second Line :
City : COLUMBUS
State : KS
Zip : 66725-1705
Country : US
Telephone Number : 620-429-3322
Fax Number : 620-429-1322
Authorized Official
Title or Position : OWNER
Name : DR. JASON HULVEY
Credential : PHARMD
Telephone Number : 620-429-3322
Provider Enumeration Date : 11/15/2022
Last Update Date : 11/15/2022

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Directions to “EVANS DRUG INC ” Practice Location

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