| NPI | 1396933545 |
|---|---|
| Doing Business As | EVERGREEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN DANG President 408-270-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 48826) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2017-02-28 |