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EVERGREEN PHARMACEUTICAL LLC NPI 1780795765


NPI Information

NPI: 1780795765
Provider Name: EVERGREEN PHARMACEUTICAL, LLC

Doing Business As: OMNICARE OF MEDFORD

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
259 E BARNETT RD STE L
MEDFORD, OR
ZIP 97501
Phone: (541) 779-5627
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EVERGREEN PHARMACEUTICAL, LLC is a long term care pharmacy pharmacy in Medford, OR. 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, LLC NPI is 1780795765. The provider is registered as an organization entity type.
The provider Is Doing Business As Omnicare Of Medford.

The provider's business location address is:

259 E BARNETT RD STE L
MEDFORD, OR
ZIP 97501-953
Phone: (541) 779-5627
Fax: (541) 779-0377

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 8/31/2006 and was last updated on 3/1/2019.


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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