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NPI Code Detail

MEDICARE: DR. CRAIG AUSTIN EVANS PHARMD

MEDICARE:  DR. CRAIG AUSTIN 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
1183500000XPharmacist42712SC

General Provider Information

NPI Number : 1265029367
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG AUSTIN EVANS PHARMD
Provider Business Mailing Address
First Line : 111 HAVENSHIRE PL
Second Line :
City : BELTON
State : SC
Zip : 29627-8292
Country : US
Telephone Number : 864-617-7452
Fax Number :
Provider Business Practice Location Address
First Line : 3501 HIGHWAY 153
Second Line :
City : GREENVILLE
State : SC
Zip : 29611-7515
Country : US
Telephone Number : 864-295-2029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2020
Last Update Date : 12/23/2020

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Directions to “ DR. CRAIG AUSTIN EVANS PHARMD” Practice Location

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