Evergreen Pharmacy, INC
NPI #1083122949 in Palisades Park, New Jersey
Provider Information
- NPI Number
- 1083122949
- Entity Type
- Organization
- Organization Name
- Evergreen Pharmacy, INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 12, 2018
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 7 BROAD AVE STE 105
- City
- Palisades Park
- State
- New Jersey
- ZIP Code
- 07650-1886
- Phone
- (201) 941-1111
Authorized Official
- Name
- YONGSUN CHO
- Title
- MANAGER
- Phone
- (201) 941-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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