# EVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Omnicare of Southern California \#48210
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821010729
- **Authorized official:** KATRINA BRYAN (ASSISTANT SECRETARY)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 8220 REMMET AVE, CANOGA PARK, CA 91304-4156
- **Practice address phone:** (818) 716-7414
- **Mailing address:** 1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 10/05/2026