| NPI | 1992728661 |
|---|---|
| Doing Business As | EVERGREEN PHARMACY RX DME |
| Entity Type | Organization |
| Authorized Contact | SI H TRAN Pedorthist, Executive Director 832-849-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224L00000X Pedorthist |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| 183500000X Pharmacist | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-04-24 |