| NPI | 1427205574 |
|---|---|
| Doing Business As | EVERGREEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HANI ABDALLAH Pharmacy Manager 708-423-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016406) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-12-01 |