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General NPI Number Information
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NPI Number | 1346134988
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Entity Type | Organization
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Legal Business Name | EVANS PHARMACY LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 110 N OAKWOOD RD
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City | ENID
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State | OK
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Zip | 73703-4946
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Country | US
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Telephone | 580-233-1202
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 W WILLOW RD
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City | ENID
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State | OK
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Zip | 73703-2599
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Country | US
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Telephone | 580-234-5494
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Fax | 580-234-5501
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KRISTI LYNN NUNLEY
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Credential |
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Telephone | 580-234-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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