EVERGREEN PHARMACY INC NPI 1083122949

NPI Information

EVERGREEN PHARMACY, INC is a pharmacy in Palisades Park, NJ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. EVERGREEN PHARMACY, INC NPI is 1083122949. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Pharmacy.

The provider's business location address is:

7 BROAD AVE STE 105
PALISADES PARK, NJ
ZIP 07650-886
Phone: (201) 941-1111
Fax: (201) 941-1124

The provider's authorized official is Yongsun Cho .
The authorized official title is Manager and has the following contact phone number (201) 941-1111.

The enumeration date for this NPI number is 1/12/2018 and was last updated on 7/19/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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