Evergreen Pharmacy LLC
NPI #1487101754 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1487101754
- Entity Type
- Organization
- Organization Name
- Evergreen Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 5, 2016
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 10101 W GREENFIELD AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-3953
- Phone
- (414) 533-6600
Authorized Official
- Name
- RICHARD A PEARSON
- Title
- CEO
- Phone
- (414) 727-5750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy |
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