Provider Demographics
NPI:1588670392
Name:EVA DRUGS INC
Entity Type:Organization
Organization Name:EVA DRUGS INC
Other - Org Name:QUALITY DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-796-7131
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:EVA
Mailing Address - State:AL
Mailing Address - Zip Code:35621-0098
Mailing Address - Country:US
Mailing Address - Phone:256-796-7131
Mailing Address - Fax:
Practice Address - Street 1:4109 EVA ROAD
Practice Address - Street 2:
Practice Address - City:EVA
Practice Address - State:AL
Practice Address - Zip Code:35621-0098
Practice Address - Country:US
Practice Address - Phone:256-796-7131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009910490Medicaid
051501465OtherMEDICARE MASS IMMUNIZATION
AL100002820Medicaid
AL1221680001Medicare NSC
051501465OtherMEDICARE MASS IMMUNIZATION