| NPI | 1598832412 |
|---|---|
| Doing Business As | EVERGREEN PROFESSIONAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD BRIGGS Director 425-899-2794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHARCF00004833) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-12-20 |