| NPI | 1679554075 |
|---|---|
| Doing Business As | EVERGREEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONG-HYUN YANG Owner 201-886-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RS00537500) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-08-22 |