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EVERGREEN PHARMACEUTICAL OF CALIFORNIA LLC NPI 1013026608


NPI Information

NPI: 1013026608
Provider Name: EVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC

Doing Business As: OMNICARE OF SANTA ROSA #48218

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
879 2ND ST
SANTA ROSA, CA
ZIP 95404
Phone: (707) 578-0399
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EVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC is a long term care pharmacy pharmacy in Santa Rosa, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. EVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC NPI is 1013026608. The provider is registered as an organization entity type.
The provider Is Doing Business As Omnicare Of Santa Rosa #48218.

The provider's business location address is:

879 2ND ST
SANTA ROSA, CA
ZIP 95404-621
Phone: (707) 578-0399

The provider's authorized official is Susan Colbert .
The authorized official title is Sr Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 1/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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