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 |