Evason Pharmacies Inc

Organization Active NPI Community/Retail Pharmacy · Rose Hill, NC

NPI 1457459331 · NPPES record last updated Jan 31, 2013

Key facts

NPI
1457459331
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
07544 (NC)
Legal business name
EVASON PHARMACIES INC
Practice address
110 S Sycamore St
Rose Hill, NC 28458
Phone
(910) 289-4271
Fax
(910) 289-3880
NPI assigned
Sep 21, 2006
Organization subpart
No

Authorized official

Name
Kevin Wilson, RPH
Title
Owner
Phone
(910) 285-2937

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 07544 NC Yes

Addresses

Primary practice location

110 S Sycamore St
Rose Hill, NC 28458

Mailing address

PO Box 1086
Rose Hill, NC 28458-1086

Other identifiers

IdentifierTypeStateIssuer
0315432MedicaidNC
3431690OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names

  • SAM'S PHARMACY Doing business as

Other providers in Rose Hill, NC

All providers in Rose Hill, NC · Community/Retail Pharmacy in North Carolina

Sources for this page

Verify at the official NPI Registry.