NPI | 1700160579 |
---|---|
Doing Business As | EVERGREEN CITY DRUGS |
Entity Type | Organization |
Authorized Contact | MISTY HERRING Pharmacist 850-675-6850 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113840) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2011-09-28 |
Last Update Date | 2012-01-12 |