Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WYATT EVANS LIVELY, D.PH.
Active Sole ProprietorMR. WYATT EVANS LIVELY, D.PH. is a Long-Term Care Pharmacy healthcare provider located in NOWATA, Oklahoma. NPI 1679126627 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · NOWATA, OK
Registration Details
- NPI Number
- 1679126627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2019 (7.0643546213564 yrs)
- Last Updated
- Jul 18, 2019
- License
-
18327 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
128 E CHEROKEE AVENOWATA, OK, 740482702Browse OK providers · Browse ZIP 74048
- Phone
- 9182733825
- Fax
- 9182732251
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.