| NPI | 1194726919 |
|---|---|
| Doing Business As | EVERGREEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL YUWEN WANG Manager 713-541-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26366) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 6487710001) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-03-31 |