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NPI Code Detail

MEDICARE: WHITNEY EVANS PHARMD.

MEDICARE: WHITNEY EVANS PHARMD.
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
1183500000XPharmacist17408OK

General Provider Information

NPI Number : 1184157901
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY EVANS PHARMD.
Provider Business Mailing Address
First Line : 1000 E CARL ALBERT PKWY
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5121
Country : US
Telephone Number : 918-426-7657
Fax Number :
Provider Business Practice Location Address
First Line : 1000 E CARL ALBERT PKWY
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5121
Country : US
Telephone Number : 918-426-7657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2017
Last Update Date : 04/08/2017

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Directions to “ WHITNEY EVANS PHARMD.” Practice Location

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