Most Relevant Information
Provider Data
| NPI Number: | 1003179938 |
| Provider Name: | TIMOTHY RAY EVANS RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH00010429 |
Most Important Dates
| Enumeration Date: | 06/15/2012 |
| Last Updated: | 06/15/2012 |
Provider Practice Location
21801 MAKAH ROAD
WOODWAY
WA
980207204
Practice Location Phone/Fax
| Phone: | 4257784306 |
| Fax: |
Provider Mailing Location
21801 MAKAH RD
WOODWAY
WA
980207204
Provider Mailing Phone/Fax
| Phone: | 4257784306 |
| Fax: |