| NPI | 1033740691 |
|---|---|
| Doing Business As | EVERGREEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHEREEN HASSAN Director 480-519-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |