Provider Demographics
NPI:1164896890
Name:EVANS, WILLIAM GARLAND (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GARLAND
Last Name:EVANS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 VINEYARD PT
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3667
Mailing Address - Country:US
Mailing Address - Phone:615-429-2273
Mailing Address - Fax:
Practice Address - Street 1:5109 VINEYARD PT
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3667
Practice Address - Country:US
Practice Address - Phone:615-429-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000039563183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist