Provider Demographics
NPI:1326593120
Name:GUTIERREZ, EVELYN DEL CARMEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:DEL CARMEN
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 PEBBLECREEK LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-8603
Mailing Address - Country:US
Mailing Address - Phone:615-809-7902
Mailing Address - Fax:
Practice Address - Street 1:2635 PEBBLECREEK LN
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-8603
Practice Address - Country:US
Practice Address - Phone:615-809-7902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist