Basic Information
Provider Information
NPI: 1982606067
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHELL
FirstName: EVANS
MiddleName: COOKE
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D., BCPS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6309 STONEHAM DR
Address2:  
City: AMARILLO
State: TX
PostalCode: 791096548
CountryCode: US
TelephoneNumber: 8063580070
FaxNumber:  
Practice Location
Address1: 6010 W AMARILLO BLVD
Address2: AMARILLO VA HEALTH CARE SYSTEM (119)
City: AMARILLO
State: TX
PostalCode: 791061990
CountryCode: US
TelephoneNumber: 8063559703
FaxNumber: 8063547857
Other Information
ProviderEnumerationDate: 08/10/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P1200X27873TXY Pharmacy Service ProvidersPharmacistPharmacotherapy

No ID Information.


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