Provider Demographics
NPI:1992702393
Name:EVANS, ROSWELL LEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROSWELL
Middle Name:LEE
Last Name:EVANS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:2388 ROCKDELL LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-7239
Mailing Address - Country:US
Mailing Address - Phone:334-887-5505
Mailing Address - Fax:334-844-8353
Practice Address - Street 1:AUBURN UNIVERSITY HARRISON SCHOOL OF PHARMACY
Practice Address - Street 2:217 WALKER BUILDING
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-0001
Practice Address - Country:US
Practice Address - Phone:334-844-8348
Practice Address - Fax:334-844-8353
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARPH0104851835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric