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
Fax: (201) 886-0059
Website:
Authorized official contact:
Name: Yang, Dong-Hyun RPH

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679554075 NPPES
New Jersey Other 3138535 NCPDP NUMBER
New Jersey MEDICAID 7121601 NCPDP NUMBER

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