| NPI | 1740549500 |
|---|---|
| Doing Business As | EVERGREEN PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE ORANUSI Owned/Pharmacist 954-478-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26138) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2017-02-20 |