| NPI | 1346211471 |
|---|---|
| Doing Business As | EVERGREEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAUL TAM President 415-221-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 28746) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-06-13 |