| NPI | 1154746998 |
|---|---|
| Doing Business As | EVERGREEN RX |
| Entity Type | Organization |
| Authorized Contact | TAREK JAWARD Owner 313-674-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007351) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-12 |