Provider Demographics
NPI:1972699296
Name:MCNEMAR, EVAN P (RPH)
Entity Type:Individual
Prefix:MR
First Name:EVAN
Middle Name:P
Last Name:MCNEMAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:KS
Mailing Address - Zip Code:66725-0309
Mailing Address - Country:US
Mailing Address - Phone:620-429-3322
Mailing Address - Fax:620-429-1322
Practice Address - Street 1:116 W PINE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:KS
Practice Address - Zip Code:66725-0309
Practice Address - Country:US
Practice Address - Phone:620-429-3322
Practice Address - Fax:620-429-1322
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS108691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist