NPI | 1396756896 |
---|---|
Doing Business As | EVERGREEN PHARMACY |
Entity Type | Organization |
Authorized Contact | CATHY DEVINE Owner/President 425-821-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.00056950) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2014-06-13 |