Evergreen Pharmaceutical, LLC
NPI #1982715124 in Tukwila, Washington
Provider Information
- NPI Number
- 1982715124
- Entity Type
- Organization
- Organization Name
- Evergreen Pharmaceutical, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Mar 1, 2019
Practice Location
- Address
- 12674 GATEWAY DR S
- City
- Tukwila
- State
- Washington
- ZIP Code
- 98168-3307
- Phone
- (425) 820-7600
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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