Evergreen Pharmacy
LBN: Total Health Care, Inc
Evergreen Pharmacy is an health care organization with primary practice located at 781 Palisade Ave , Cliffside Park NJ 07010-3203. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty.
Total Health Care, Inc can be contacted via phone (201) 886-2400, or through Yang, Dong-Hyun via phone (201) 886-2400.
Contact Information
Primary practice address
781 Palisade Ave
Cliffside Park NJ 07010-3203
Phone: (201) 886-2400
Fax: (201) 886-0059
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 28RS00537500 | New Jersey |
Profile Details
NPI number | 1679554075 |
---|---|
LBN Legal business name | Total Health Care, Inc |
DBA Doing business as | Evergreen Pharmacy |
Authorized official | Yang, Dong-Hyun RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 11th, 2005 |
Last updated | Aug 22nd, 2020 - about 4 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 | 1679554075 | NPPES |
New Jersey | Other | 3138535 | NCPDP NUMBER |
New Jersey | MEDICAID | 7121601 | NCPDP NUMBER |
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