Evergreen Pharmacy
LBN: C & S Pharmaceuticals Inc
Evergreen Pharmacy is an health care organization with primary practice located at 12911 120Th Ave Ne Ste E-20, Kirkland WA 98034-3027. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
C & S Pharmaceuticals Inc can be contacted via phone (425) 821-8888, or through Devine, Cathy via phone (425) 821-8888.
Contact Information
Primary practice address
12911 120Th Ave Ne Ste E-20
Kirkland WA 98034-3027
Phone: (425) 821-8888
Fax: (425) 821-4195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAR.CF.00056950 | Washington |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1396756896 |
|---|---|
| LBN Legal business name | C & S Pharmaceuticals Inc |
| DBA Doing business as | Evergreen Pharmacy |
| Authorized official | Devine, Cathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 13th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396756896 | NPPES |
| Washington | MEDICAID | 6005094 | |
| Washington | MEDICAID | 6024491 | |
| Washington | Other | 2107640 |
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