Evergreen Pharmacy Inc

LBN: Evergreen Pharmacy Inc
Evergreen Pharmacy Inc is an health care organization with primary practice located at 2365 Quimby Rd Ste 150 , San Jose CA 95122-1337. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Evergreen Pharmacy Inc can be contacted via phone (408) 531-9961, or through Dang, Kevin via phone (408) 391-0700.

Contact Information

Primary practice address
2365 Quimby Rd Ste 150 San Jose CA 95122-1337
Phone: (408) 531-9961
Fax: (855) 831-7973
Website:
Map and Directions
Authorized official contact:
Name: Dang, Kevin RPH
Phone: (408) 391-0700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51198 California

Profile Details

NPI number 1861852030
LBN Legal business name Evergreen Pharmacy Inc
DBA Doing business as
Authorized official Dang, Kevin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2016
Last updated Jun 6th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861852030 NPPES
Other 2158376 PK

Popular Providers