Evergreen Pharmaceutical LLC

NPI #1235240391 in Portland, Oregon

Provider Information

NPI Number
1235240391
Entity Type
Organization
Organization Name
Evergreen Pharmaceutical LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Aug 31, 2006
Last Updated
Jul 17, 2024

Practice Location

Address
11933 NE GLENN WIDING DR
State
Oregon
ZIP Code
97220-9099
Phone
(503) 254-1647

Authorized Official

Name
SUSAN COLBERT
Title
SR DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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