# EVERGREEN PHARMACY GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144558339
- **Authorized official:** MR. JALAL HYDER JAFRI (PRESIDENT)
- **Authorized official phone:** (203) 940-0507

## Contact information

- **Practice address:** 1037 MAIN ST, PEEKSKILL, NY 10566-2913
- **Practice address phone:** (914) 734-8750
- **Practice address fax:** (914) 734-8708
- **Mailing address:** 1037 MAIN ST, PEEKSKILL, NY 10566-2913
- **Mailing address phone:** (914) 734-8750
- **Mailing address fax:** (914) 734-8708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 029859 | NY | Yes |

## Other

- **Enumeration date:** 11/27/2009
- **Last updated:** 11/27/2009