| NPI | 1821406711 |
|---|---|
| Doing Business As | EVERGREEN RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | YVONNE T. TONGOC Secretary/PIC 951-878-9074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2020-08-24 |