EVERGREEN PHARMACY INC

SAN JOSE, CA
NPI1861852030
Entity TypeOrganization
Authorized ContactKEVIN DANG
President,PIC, AO
408-391-0700
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy Community/Retail Pharmacy
(Licence: CA  PHY51198)
Additional Taxonomies333600000X Pharmacy
3336C0002X Pharmacy Clinic Pharmacy
Enumeration Date2016-03-02
Last Update Date2018-06-06
Business Address
EVERGREEN PHARMACY INC
2365 QUIMBY RD STE 150
SAN JOSE, CA 95122-1337
Phone number: 408-531-9961
Mailing Address
EVERGREEN PHARMACY INC
EVERGREEN PHARMACY PO BOX 731582
SAN JOSE, CA 95173-1582
Phone number: 408-531-9961