Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Detra Elaine Provost, RPH

Individual provider Pharmacist · NPI 1265703128

Mrs. Detra Elaine Provost, RPH is a Pharmacist in Evans, Georgia. Licensed in Georgia, South Carolina and Texas. Registered with an NPI since 2012.

Licensed in
GA, SC, TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4223 Washington Rd
Evans, GA 30809-3069
Phone: (706) 869-0937
Fax: (706) 993-9781
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH18214 (GA)
Pharmacist Taxonomy 183500000X · Licence 8706 (SC)
Pharmacist Taxonomy 183500000X · Licence 32754 (TX)

Record details

NPI number1265703128
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedJanuary 24, 2012
Last updated in NPPESJanuary 24, 2012

Other providers in Evans