Provider Demographics
NPI:1760235543
Name:EVANS, KARI LEIGH (RPH)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:LEIGH
Last Name:EVANS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LEIGH
Other - Last Name:SHUSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:14 INDUSTRIAL LN
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:AL
Mailing Address - Zip Code:35988-2273
Mailing Address - Country:US
Mailing Address - Phone:877-818-0067
Mailing Address - Fax:256-484-5517
Practice Address - Street 1:14 INDUSTRIAL LN
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:AL
Practice Address - Zip Code:35988-2273
Practice Address - Country:US
Practice Address - Phone:877-818-0067
Practice Address - Fax:256-484-5517
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist