Evergreen Pharmacy INC

NPI #1033740691 in Las Vegas, Nevada

Provider Information

NPI Number
1033740691
Entity Type
Organization
Organization Name
Evergreen Pharmacy INC
Primary Specialty
Pharmacy
Enumeration Date
Jan 31, 2020
Last Updated
Jan 31, 2020

Practice Location

Address
4110 S MARYLAND PKWY STE 17
State
Nevada
ZIP Code
89119-7505
Phone
(702) 462-6262

Authorized Official

Name
SHEREEN HASSAN
Title
DIRECTOR
Phone
(480) 519-4640

Specialties & Taxonomy Codes

Specialty
Pharmacy

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