Provider Demographics
NPI:1174848659
Name:EVANS, DONAVER MATHERLY II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DONAVER
Middle Name:MATHERLY
Last Name:EVANS
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DONAVER
Other - Middle Name:MATHERLY
Other - Last Name:E VANS
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10187 NC HWY 127 N
Mailing Address - Street 2:ALEXANDER COUNTY
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601
Mailing Address - Country:US
Mailing Address - Phone:828-495-3784
Mailing Address - Fax:828-495-1264
Practice Address - Street 1:10187 NC HWY 127
Practice Address - Street 2:ALEXANDER COUNTY
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:828-495-3784
Practice Address - Fax:828-495-1264
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist