EVERGREEN FUNCTIONAL MEDICINE LLC NPI 1760206197

NPI Details

EVERGREEN FUNCTIONAL MEDICINE LLC is a pharmacist in Spokane, WA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. EVERGREEN FUNCTIONAL MEDICINE LLC NPI is 1760206197. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

607 W WILLAPA AVE
SPOKANE, WA
ZIP 99224-337
Phone: (509) 720-6314

The provider's authorized official is Jane Cox .
The authorized official title is Administrator/access Manager and has the following contact phone number (949) 664-2796.

The enumeration date for this NPI number is 11/12/2024 and was last updated on 11/12/2024.

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: